Individual
OLIVIA E ASSO-GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
62 W ELM ST, CONESTOGA, PA 17516-9725
(717) 553-3791
Mailing address
62 W ELM ST, CONESTOGA, PA 17516-9725
(717) 553-3791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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