Melvin Enderes, ATC

NPI #1710584792 in Brambleton, Virginia

Provider Information

NPI Number: 1710584792
Entity Type: Individual
Name: Melvin Enderes, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Oct 2, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 42678 FRONTIER DR
City: Brambleton
State: Virginia
ZIP Code: 20148-7207
Phone: (571) 888-0852

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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