Individual
MISS LISA REBECCA JASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3722 BLAZE DR, MURFREESBORO, TN 37128-3951
(714) 343-8510
Mailing address
3722 BLAZE DR, MURFREESBORO, TN 37128-3951
(714) 343-8510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
110302082
CA
Other
Enumeration date
02/16/2007
Last updated
04/30/2010
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