Individual
JENNIFER ELAINE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4314 12TH AVE N, ST PETERSBURG, FL 33713-5218
(727) 657-2912
Mailing address
4314 12TH AVE N, ST PETERSBURG, FL 33713-5218
(727) 657-2912
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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