Individual
CALLISTA JUDE GARTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 NEW RD, SOUTHAMPTON, PA 18966-3603
(267) 237-5494
Mailing address
20 NEW RD, SOUTHAMPTON, PA 18966-3603
(267) 237-5494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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