Individual
MRS. DENA VANDAGRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4280 MAZARIN PL APT 206, FAIRFAX, VA 22033-5790
(703) 627-2239
Mailing address
4280 MAZARIN PLACE, APT 206, FAIRFAX, VA 22033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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