PATRICK JOHN FAVA

NEWARK, DE
NPI1972991438
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: DE  J3-0000524)
Enumeration Date2015-01-06
Last Update Date2015-01-06
Business Address
Mr. PATRICK JOHN FAVA ATC, LAT
631 S COLLEGE AVE ATHLETIC TRAINING ROOM
NEWARK, DE 19716-2010
Phone number: 302-831-8857
Mailing Address
Mr. PATRICK JOHN FAVA ATC, LAT
6477 83RD PL
MIDDLE VILLAGE, NY 11379-2434
Phone number: 718-507-2961
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