Individual
JESSICA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1301 COLLEGE AVE, FREDERICKSBURG, VA 22401-5300
(207) 239-1237
Mailing address
21 OAK RIDGE DR, STANDISH, ME 04084-6017
(207) 239-1237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002693
VA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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