Individual
ABIGAIL LAURA KISAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18169 RIDGE MEADOW RD, STEWARTSTOWN, PA 17363-7571
(717) 809-8754
Mailing address
18169 RIDGE MEADOW RD, STEWARTSTOWN, PA 17363-7571
(717) 809-8754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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