Individual
MS. JESSICA EMBER MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC, CSCS
Contact information
Practice address
130 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-7076
Mailing address
128 COOLFONT LN, WINCHESTER, VA 22602-6234
(540) 683-6687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000770
VA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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