Individual
JESSICA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2962 WOODCREST DR, PANAMA CITY, FL 32405-2033
(850) 896-8040
Mailing address
2962 WOODCREST DR, PANAMA CITY, FL 32405-2033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5050
FL
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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