Individual
BENJAMIN CLEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 FERRY ST, EASTON, PA 18042-3967
(484) 894-6860
Mailing address
1900 FERRY ST, EASTON, PA 18042-3967
(484) 894-6860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/02/2019
Last updated
02/02/2019
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