Individual
JACQUELYN MARIE MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, PES, CES
Contact information
Practice address
639 HOWARD RD, WEST POINT, NY 10996-1510
(845) 938-2393
Mailing address
639 HOWARD RD, WEST POINT, NY 10996-1510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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