Individual
MISS JAMIE MARIE VEENSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C
Contact information
Practice address
4226 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 431-6004
Mailing address
4114 HATHAWAY AVE, APT. #3, LONG BEACH, CA 90815-2619
(562) 706-4843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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