Individual
JENNIFER LAUREN MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W UNIVERSITY AVE, MUNCIE, IN 47306-3795
(765) 285-5178
Mailing address
2855 S WHITNEY RD, SELMA, IN 47383-9735
(765) 702-4900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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