Individual
JALISSA HARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 WAVERLY WAY, ALEDO, TX 76008-5724
(915) 345-7903
Mailing address
174 WAVERLY WAY, ALEDO, TX 76008
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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