Individual
JILLIAN MARIE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 IMPERIAL DR, GREENVILLE, PA 16125-9766
(724) 815-8704
Mailing address
18 IMPERIAL DR, GREENVILLE, PA 16125-9766
(724) 815-8704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
05/26/2022
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