Individual
MS. JENNIFER LEIGH VERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
37 MAIN ST, CONWAY, NH 03818-6166
(603) 447-2533
(603) 447-2544
Mailing address
PO BOX 1828, CONWAY, NH 03818-1828
(603) 447-2533
(603) 447-2544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0476
NH
2255A2300X
Athletic Trainer
AT396
ME
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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