Individual
DEMETRIUS JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1801 N BROAD ST, PHILADELPHIA, PA 19122-6003
(215) 204-7000
Mailing address
12 HONEYSUCKLE DR, SEWELL, NJ 08080-2588
(215) 667-0572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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