Individual
GENESIS GURREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
284 POPLAR ST, CATASAUQUA, PA 18032-1331
(301) 518-7060
Mailing address
284 POPLAR ST, CATASAUQUA, PA 18032-1331
(301) 518-7060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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