Individual
JENNIFER PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 MARION LANE, BRODHEADSVILLE, PA 18322
(570) 994-2962
Mailing address
575 MARION LANE, BRODHEADSVILLE, PA 18322
(570) 994-2962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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