Individual
MRS. BRITTANY JACQUELYN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
655 N 3RD ST, CENTRAL POINT, OR 97502-1876
(541) 630-0705
Mailing address
563 BERRYDALE AVE, MEDFORD, OR 97501-1619
(541) 670-0113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10158622
OR
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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