Individual
JULIAN DANTE' DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6231 OLD MILL RD APT 110, LYNCHBURG, VA 24502-5125
(434) 338-9730
Mailing address
6231 OLD MILL RD APT 110, LYNCHBURG, VA 24502-5125
(434) 338-9730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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