LANCE MALO FUJIWARA

LEXINGTON, VA
NPI1417216458
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA  0126000244)
Enumeration Date2012-05-11
Last Update Date2012-05-11
Business Address
MR. LANCE MALO FUJIWARA M.ED, ATC
307 LETCHER AVE
LEXINGTON, VA 24450-2109
Phone number: 540-570-0270
Mailing Address
MR. LANCE MALO FUJIWARA M.ED, ATC
307 LETCHER AVE
LEXINGTON, VA 24450-2109
Phone number: 540-570-0270