Individual
JESSICA LUEBKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5050 AVE MARIA BLVD, AVE MARIA, FL 34142-9505
(239) 304-7865
Mailing address
5391 FERRIS AVE, AVE MARIA, FL 34142-5046
(510) 846-2209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4636
FL
Other
Enumeration date
04/14/2015
Last updated
07/24/2016
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