Individual
BRANDON JAY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 N RIVER ST, WILKES BARRE, PA 18711-0801
(888) 546-4772
Mailing address
1809 JENNIFER DR, BREINIGSVILLE, PA 18031-1130
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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