Individual
JESSICA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2641 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-5943
(201) 761-7312
Mailing address
2641 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-5943
(201) 761-7312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00227600
NJ
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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