Individual
JAKE ANTHONY TUCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3892 GREENSWARD VW NW, KENNESAW, GA 30144-5780
(770) 313-6772
Mailing address
3892 GREENSWARD VW NW, KENNESAW, GA 30144-5780
(770) 313-6772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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