Individual
ALIVIA TAVERAS-NEMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 RECREATIONAL BUILDING, STATE COLLEGE, PA 16801
(732) 874-0224
Mailing address
146 RECREATIONAL BUILDING, STATE COLLEGE, PA 16801
(814) 864-5284
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2021
Last updated
07/30/2021
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