Ghana Cornelius
Specialist/Technologist, Athletic Trainer in Lock Haven, PA. Individual provider (NPI-1).
NPI number1871271981
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1871271981
- Entity type
- Individual (NPI-1)
- Name
- Ghana Cornelius
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 3, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
232 W Church St Apt 3Lock Haven, PA 17745-1200
Phone 717-580-9079
Mailing address
232 W Church St Apt 3Lock Haven, PA 17745-1200
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