Individual
JESSICA LYNNEZ GAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, NREMT
Contact information
Practice address
150 S ALICE CIR, ANAHEIM, CA 92806-3822
(714) 928-5851
Mailing address
2222 N SANTIAGO BLVD, ORANGE, CA 92867-2552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/16/2018
Last updated
10/16/2018
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