Individual
MS. DIANA ZAICHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
190 E FLIGHT LINE RD BLDG 790, LANGLEY AFB, VA 23665-2204
(518) 630-7759
Mailing address
1933 EASTOVER CT, VIRGINIA BEACH, VA 23464-8911
(518) 630-7759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003021
VA
Other
Enumeration date
09/20/2019
Last updated
07/20/2021
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