Individual
HALIE ANN MARIA HURTADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S BROAD ST APT 833, PHILADELPHIA, PA 19146-2261
(916) 612-1504
Mailing address
1000 S BROAD ST APT 833, PHILADELPHIA, PA 19146-2261
(916) 612-1504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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