Individual
MRS. KIERNAN ELIZABETH MELOGRANA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2601 GRANDVIEW BLVD, WEST LAWN, PA 19609-1324
(610) 670-0185
Mailing address
2101 BURKEY DR, WYOMISSING, PA 19610-1546
(610) 678-3056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002414A
PA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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