Individual
JENA LYNNE ETNOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
827 ROCKVILLE PIKE STE E, ROCKVILLE, MD 20852-1267
(301) 251-2777
Mailing address
9300 LIVINGSTON RD, SUITE 100, FORT WASHINGTON, MD 20744-4914
(301) 251-2777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
12/10/2012
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