BETHANY GRACE DRUVENGA

FREDERICKSBURG, VA
NPI1245655398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126001802)
Enumeration Date2014-02-26
Last Update Date2022-08-19
Business Address
BETHANY GRACE DRUVENGA LAT, ATC
1301 COLLEGE AVE # 103
FREDERICKSBURG, VA 22401-5300
Phone number: 540-654-1874
Mailing Address
BETHANY GRACE DRUVENGA LAT, ATC
1603 HUDGINS FARM CIR
FREDERICKSBURG, VA 22408-4191
Phone number: 712-260-0671
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