Individual
MISS JENNIFER ROSE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18952 E FISHER RD, ST MARYS CITY, MD 20686-3002
(240) 895-2135
Mailing address
18952 E FISHER RD, ST MARYS CITY, MD 20686-3002
(240) 895-2135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00669
MD
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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