Individual
JESSICA FUNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 CARDINAL LN, CANDLER, NC 28715-9034
(828) 442-0310
Mailing address
36 CARDINAL LN, CANDLER, NC 28715-9034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2214
NC
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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