Individual
JASMINE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1226 YERKES ST, PHILADELPHIA, PA 19119-1547
(267) 242-9341
Mailing address
1226 YERKES ST, PHILADELPHIA, PA 19119-1547
(267) 242-9341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006339
PA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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