Individual
JESSICA DAWN HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 N 360 W, VINEYARD, UT 84059-4815
(208) 949-1928
Mailing address
527 N 360 W, VINEYARD, UT 84059-4815
(208) 949-1928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12896618-4810
UT
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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