NPI | 1386367290 |
---|---|
Professional Name | RON FITZGERALD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126003715) |
Enumeration Date | 2022-09-26 |
Last Update Date | 2022-09-26 |