Individual
JACLYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1101 CAMDEN AVE, SALISBURY, MD 21801-6837
(410) 422-3890
Mailing address
1008 ARTHUR CT, APARTMENT 455, SALISBURY, MD 21804-6560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000626
MD
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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