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Individual

KRISTYN HELEN HANEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
379 FIELDHOUSE DR, COLLEGE PARK, MD 20742-0001
(203) 231-3390
Mailing address
379 FIELDHOUSE DR, COLLEGE PARK, MD 20742-0001
(203) 231-3390

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/12/2012
Last updated
08/12/2012
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