Individual
ROSLYNN WINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4700 STONECROFT BLVD, CHANTILLY, VA 20151-1716
(703) 488-6413
Mailing address
4700 STONECROFT BLVD, CHANTILLY, VA 20151-1716
(703) 488-6413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000445
VA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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