Individual
JARED DEION GLOSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3231
Mailing address
606 RIDGE DR, DOUGLASSVILLE, PA 19518-1242
(717) 306-8237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007287
PA
Other
Enumeration date
12/10/2018
Last updated
09/23/2020
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