Individual
LAURA MELINDA RAGONESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2552 ROUTE 6, HAWLEY, PA 18428-7045
(570) 226-4557
Mailing address
113 MAPLE LN, NEWFOUNDLAND, PA 18445-2221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001963A
PA
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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