Individual
BRANDON DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(302) 415-9783
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000522
DE
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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