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Individual

JENNIFER MAYBRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(573) 587-9805
Mailing address
8010 GRAMERCY BLVD APT 501, DERWOOD, MD 20855-2371

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002768
VA
2255A2300X
Athletic Trainer
Primary
A0000125
MD

Other

Enumeration date
01/24/2020
Last updated
01/24/2020
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