DAVID MICHAEL JACONSKI

RICHMOND, VA
NPI1306063300
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000365)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
Mr. DAVID MICHAEL JACONSKI ATC
500 HIOAKS RD
RICHMOND, VA 23225
Phone number: 804-560-6518
Mailing Address
Mr. DAVID MICHAEL JACONSKI ATC
1430 PALMORE RD
POWHATAN, VA 23139
Phone number: 804-403-3636
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