Individual
JESSICA HARTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
203 LAKE LOWELL AVE, NAMPA, ID 83686-6654
(406) 239-1878
Mailing address
7270 E CANTERBURY LN, NAMPA, ID 83687-9430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
09/15/2021
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