Individual
MS. JAN K HERSHEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4505
Mailing address
1421 PARKVIEW AVE, ROCKFORD, IL 61107-1819
(815) 395-4581
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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