Individual
MISS BROOKE KATRINA KUSMIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 RUES LN, EAST BRUNSWICK, NJ 08816-3854
(732) 754-4071
Mailing address
13 RUES LN, EAST BRUNSWICK, NJ 08816-3854
(732) 754-4071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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