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Individual

ADRIENNE J FAIRCLOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4665 BLUE PLAINS DR SW, WASHINGTON, DC 20032-5202
(202) 528-8273
Mailing address
4665 BLUE PLAINS DR SW, WASHINGTON, DC 20032-5202
(202) 528-8273

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000784
MD
2255A2300X
Athletic Trainer
Primary
AT23000049
DC

Other

Enumeration date
01/01/2016
Last updated
04/03/2026
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