Individual
GRETCHEN LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WOODBINE LN, DANVILLE, PA 17822-0001
(570) 275-6969
Mailing address
427 BISSETS LN, BLOOMSBURG, PA 17815-8928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004373
PA
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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