Individual
MELVIN ENDERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
42678 FRONTIER DR, BRAMBLETON, VA 20148-7207
(571) 888-0852
Mailing address
42678 FRONTIER DR, BRAMBLETON, VA 20148-7207
(571) 888-0852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
10/02/2020
Last updated
11/27/2023
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