ANGELA V. FORMAZ

ALLENTOWN, PA
NPI1053689109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT003528)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
-- ANGELA V. FORMAZ MS, ATC
250 CETRONIA RD
ALLENTOWN, PA 18104-9147
Phone number: 610-973-6200
Mailing Address
-- ANGELA V. FORMAZ MS, ATC
1045 N WAHNETA ST
ALLENTOWN, PA 18109-1668
Phone number: