GUSTAVO ALEJANDRO CANALS

FAIRFAX, VA
NPI1578202073
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-06-02
Last Update Date2022-06-02
Business Address
GUSTAVO ALEJANDRO CANALS MA, ATC
13104 TALL SHADOWS LN APT A
FAIRFAX, VA 22033-5004
Phone number: 571-215-1880
Mailing Address
GUSTAVO ALEJANDRO CANALS MA, ATC
13104 TALL SHADOWS LN APT A
FAIRFAX, VA 22033-5004
Phone number: 571-215-1880