Individual
JENNIFER ALYCE CROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2643 LONG TER, SANTA MARIA, CA 93455-7440
(805) 934-4039
Mailing address
2643 LONG TER, SANTA MARIA, CA 93455-7440
(805) 934-4039
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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