Individual
GHANA CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 W CHURCH ST APT 3, LOCK HAVEN, PA 17745-1200
(717) 580-9079
Mailing address
232 W CHURCH ST APT 3, LOCK HAVEN, PA 17745-1200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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