Individual
REGINA MISURACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 GRUNDY ST, BALTIMORE, MD 21224-4342
(443) 846-4071
Mailing address
442 YORKSHIRE DR, SEVERNA PARK, MD 21146-1652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00972
MD
Other
Enumeration date
04/07/2017
Last updated
08/27/2022
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