Individual
ISMAEL ALONSO CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LAT, ATC
Contact information
Practice address
120 TAMS ST, STAUNTON, VA 24401
(352) 630-2620
Mailing address
284 WILLOWSHIRE CT, WAYNESBORO, VA 22980
(352) 630-2620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126004109
VA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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