Individual
MS. JENNIFER LYNNE STACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3670 S BENZING RD STE K, ORCHARD PARK, NY 14127-1741
(716) 250-9999
Mailing address
12 STONE HEDGE DR, LANCASTER, NY 14086-1432
(716) 250-9999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001590
NY
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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