Individual
KEIARA MONIQUE WHETSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROSPECT ST STE 418, EAST STROUDSBURG, PA 18301-2956
(267) 777-1143
Mailing address
9 THORNYAPPLE LEVVITTOWN PA 19054, LEVITTOWN, PA 19054
(267) 777-1143
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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