Individual
JAYME HARROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
34388 CHRISTMAS TREE LN, CRESWELL, OR 97426-9430
(573) 355-1104
Mailing address
34388 CHRISTMAS TREE LN, CRESWELL, OR 97426-9430
(573) 355-1104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10172696
OR
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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