Individual
MS. JAILYN MARIE ANNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1543 HELO CT, MANTECA, CA 95337-8062
(603) 305-7203
Mailing address
1543 HELO CT, MANTECA, CA 95337-8062
(603) 305-7203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
Y4196722
CA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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