Individual
JADE MADISON HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MORAVIAN COLLEGE, 1200 MAIN STREET, BETHLEHEM, PA 18018
(610) 861-1320
Mailing address
6083 BEVERLY HILLS RD, COOPERSBURG, PA 18036-1827
(610) 349-5788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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