Individual
ALEXIS HADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12217 PENDER CREEK CIR APT A, FAIRFAX, VA 22033-3921
(757) 508-3575
Mailing address
12217 PENDER CREEK CIR APT 17A, FAIRFAX, VA 22033-3921
(757) 508-3575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
09/18/2020
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