Individual
DUCKKI MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7373 ADMIRAL PEARY HIGHWAY, CRESSON, PA 16630-1999
(814) 886-6328
Mailing address
203 PEARY CIR, CRESSON, PA 16630
(814) 886-6328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004390
PA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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