Individual
JILL MARIE WOSMEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1500 S ANAHEIM BLVD, ANAHEIM, CA 92805-6242
(320) 237-5293
Mailing address
1500 S ANAHEIM BLVD, ANAHEIM, CA 92805-6242
(320) 237-5293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
733
SC
Other
Enumeration date
12/01/2006
Last updated
11/04/2009
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