| NPI | 1124418421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN MEANS Athletic Trainer 202-306-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |