Individual
KALEEN WOODBURYMONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LAT,ATC
Contact information
Practice address
427 E MOUNTAIN RIDGE MHP, WILKES BARRE, PA 18702-8000
(570) 262-1421
Mailing address
427 E MOUNTAIN RIDGE MHP, WILKES BARRE, PA 18702-8000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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