Individual
JESSICA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 330-1899
Mailing address
1900 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-2889
(360) 330-1899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160047702
WA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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