Individual
MEGAN PAKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 S MILLER AVE, MARION, IN 46953-1150
(607) 220-6942
Mailing address
1403 S MILLER AVE, MARION, IN 46953-1150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003294A
IN
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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