Individual
JENNIFER TAGINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,EMT,LAT
Contact information
Practice address
706B WAYNICK BLVD, WRIGHTSVILLE BEACH, NC 28480-2131
(910) 262-3804
Mailing address
706B WAYNICK BLVD, WRIGHTSVILLE BEACH, NC 28480-2131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0521
NC
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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