Individual
MISS MELINDA SANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
583 HARRISON ST, HAZLETON, PA 18201-4663
(570) 450-5688
Mailing address
583 HARRISON ST, HAZLETON, PA 18201-4663
(570) 450-5688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002428A
PA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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