Individual
BRENDAN S CZARNECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 MOULTON RD, HAMPTON, NH 03842-2154
(925) 247-4796
Mailing address
64 MOULTON RD, HAMPTON, NH 03842-2154
(925) 247-4796
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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