Individual
JILL CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
279 GOODRICH AVE, SAINT PAUL, MN 55102-2701
(907) 947-9694
Mailing address
279 GOODRICH AVE, SAINT PAUL, MN 55102-2701
(907) 947-9694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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