Individual
JAILENE ORTIZ-GORDILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3211
Mailing address
424 W 4TH ST, BETHLEHEM, PA 18015-1402
(787) 205-2555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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