Individual
JONATHAN DAVID PRISCIANDARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 BRANDON AVE, CHARLOTTESVILLE, VA 22903
(571) 442-0047
Mailing address
12809 TEWKSBURY DR, HERNDON, VA 20171-2428
(571) 442-0047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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