Individual
MR. BRIAN PASHKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
308 WARHAWK WAY, MONROE, LA 71209-0001
(908) 930-1163
Mailing address
308 WARHAWK WAY, MONROE, LA 71209-0001
(908) 930-1163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200432
LA
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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