Individual
JACQUELINE ELIZABETH MILLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3314 KNOXVILLE AVE, LONG BEACH, CA 90808-4145
(760) 705-7293
Mailing address
3314 KNOXVILLE AVE, LONG BEACH, CA 90808-4145
(760) 705-7293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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