Individual
MR. HUNTER LEE DURVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7276 MERLE SMITH LN, MECHANICSVILLE, VA 23111-5029
(804) 730-1389
Mailing address
7276 MERLE SMITH LN, MECHANICSVILLE, VA 23111-5029
(804) 730-1389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000045
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000045
ATHLETIC TRAINER LICENSE
VA
Enumeration date
04/19/2007
Last updated
07/08/2007
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