Individual
JESSICA ROSE WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
10600 WHITE OAK AVE, DYER, IN 46311-3356
(219) 558-8811
Mailing address
801 MACARTHUR BLVD, MUNSTER, IN 46321-2915
(219) 838-4461
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002873A
IN
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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