Individual
JOAN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11407 RIDGE LN, MONROVIA, MD 21770-9501
(301) 802-1912
Mailing address
11407 RIDGE LN, MONROVIA, MD 21770-9501
(301) 802-1912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002018
VA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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