Individual
JESSICA FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3400 W GONZALES RD, OXNARD, CA 93036-7768
(805) 389-6423
Mailing address
3400 W GONZALES RD, OXNARD, CA 93036-7768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/29/2017
Last updated
10/07/2020
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