Individual
MS. JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
SAINT MICHAELS COLLEGE, ONE WINOOSKI PARK, BOX 258, COLCHESTER, VT 05439-0001
(802) 345-0263
Mailing address
253 BAY RD, SHELBURNE, VT 05482-7754
(802) 345-0263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0000089
VT
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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