Individual
MS. JENNIFER LYNN STAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5 STANTON ST, CLARK, NJ 07066-3220
(732) 881-0029
Mailing address
5 STANTON ST, CLARK, NJ 07066-3220
(732) 881-0029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00257700
NJ
Other
Enumeration date
04/05/2020
Last updated
04/05/2020
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