MR. John F Banaszak, A.T.C.
NPI #1962576736 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1962576736
- Entity Type
- Individual
- Name
- MR. John F Banaszak, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 314 N 9TH ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-3327
- Phone
- (360) 428-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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