Individual
JENNIFER ROCHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
4923 CAPTAINS PL, GARLAND, TX 75043-6766
(903) 641-8860
Mailing address
4923 CAPTAINS PL, GARLAND, TX 75043-6766
(903) 641-8860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3747
TX
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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