Individual
MRS. JENNIFER EATON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
800 S ASH ST, NEVADA REGIONAL MEDICAL CENTER, NEVADA, MO 64772-3223
(417) 448-3790
(417) 448-3654
Mailing address
RR 1 BOX 270, NEVADA, MO 64772-9743
(417) 448-8914
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MO
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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