Individual
MADISON JAYNE TOMASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15428 REVERE DR, NEW FREEDOM, PA 17349-9086
(717) 434-2952
Mailing address
15428 REVERE DR, NEW FREEDOM, PA 17349-9086
(717) 434-2952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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