Individual
JENNIFER YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(314) 920-9611
Mailing address
1631 FAIRHILLS DR, SAINT LOUIS, MO 63146-3827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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