Individual
JOSEPH PAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(202) 877-1680
Mailing address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000246
MD
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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