Individual
JENNIFER LEE MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 COLONIAL DR, IRWIN, PA 15642-3240
(727) 488-3639
Mailing address
119 COLONIAL DR, IRWIN, PA 15642-3240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007526
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
08/27/2019
Last updated
04/29/2021
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