Individual
JENNA PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 HIGH ST, FARMVILLE, VA 23909-1800
(301) 221-3917
Mailing address
3302 MORELAND PL, BOWIE, MD 20715-1843
(301) 221-3917
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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