HENRY BENJAMIN WILANTEWICZ

UNIVERSITY PARK, PA
NPI1376310078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-12-04
Last Update Date2023-12-04
Business Address
HENRY BENJAMIN WILANTEWICZ
201 SHIELDS BLDG
UNIVERSITY PARK, PA 16802-1204
Phone number: 814-865-5471
Mailing Address
HENRY BENJAMIN WILANTEWICZ
213 ASHBURN AVE
MANAHAWKIN, NJ 08050-2378
Phone number: 609-276-4081