Individual
MS. JACQUELINE CLOUSE SNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5414 COUGAR TRAIL RD, DUBLIN, VA 24084-3841
(540) 440-0423
Mailing address
5414 COUGAR TRAIL RD, DUBLIN, VA 24084-3841
(540) 440-0423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000169
VA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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