Individual
MITCHELL LOUIS VLEMINCKX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 PEACH ST, BRADFORD, PA 16701-3784
(814) 598-6325
Mailing address
20 PEACH ST, BRADFORD, PA 16701-3784
(814) 598-6325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
07/01/2022
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