Individual
JILLIAN LAYNE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 HEIDELBERG CT, BERNVILLE, PA 19506-9517
(484) 818-1613
Mailing address
21 HEIDELBERG CT, BERNVILLE, PA 19506-9517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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