Individual
JENNY DOLORES PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3044 3RD AVE APT 3B, BRONX, NY 10451-4794
(646) 423-5986
Mailing address
3044 3RD AVE APT 3B, BRONX, NY 10451-4794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002543-01
NY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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