Individual
RAHMIEL ALBERT BALLESTEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 RECREATION BLDG, UNIVERSITY PARK, PA 16802
(732) 618-8347
Mailing address
140 RECREATION BLDG, UNIVERSITY PARK, PA 16802
(732) 618-8347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2021
Last updated
04/12/2021
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