Individual
JESSICA ANN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2430 MCRAE BLVD, EL PASO, TX 79925-6020
(915) 434-4000
Mailing address
3112 DON MAYNARD ST, EL PASO, TX 79938-3132
(915) 355-0608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5517
TX
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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