Individual
JESSICA DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 855-1779
Mailing address
24098 SAFFRON RD APT B, WAYNESVILLE, MO 65583-8707
(573) 855-1779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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