Individual
JESSICA LAUREN FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CES
Contact information
Practice address
2030 ENCIMA DR, CONCORD, CA 94519-2210
(707) 349-5199
Mailing address
2030 ENCIMA DR, CONCORD, CA 94519-2210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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