Individual
JENNA LEIGH KIPETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
35000 GUADALCANAL ST BLDG 573, SAN DIEGO, CA 92140-5599
(619) 524-8313
Mailing address
7831 SPINNAKER BAY DR UNIT 207, SHERRILLS FORD, NC 28673-9291
(860) 462-1434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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