Individual
JALEESA WARNAY WESTMORELAND-GINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 EAST CHERRY STREET, SPORTS MEDICINE AND ATHLETIC TRAINING SUITE 600, SPRINGFIELD, MO 65806
(314) 435-4570
Mailing address
833 E ELM ST RM 305-1, SPRINGFIELD, MO 65806-2431
(314) 435-4570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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