Individual
JESSICA MARIE EICHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001789A
IN
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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