Individual
JILLIAN DESCOTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
14 KNIGHT ST, UNIT 2, CONCORD, NH 03301-3272
(603) 714-9480
Mailing address
14 KNIGHT ST, UNIT 2, CONCORD, NH 03301-3272
(603) 714-9480
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004292
OH
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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