Individual
JESSICA SOFIE LIUTKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13010 PASEO LUCIDO, SAN DIEGO, CA 92128-4478
(858) 485-4800
Mailing address
16543 S CATAWBA RD, HOMER GLEN, IL 60491-9633
(773) 865-6343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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