Individual
JENNIFER LYNN MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
15 N EAST AVE, VINELAND, NJ 08360-3807
(856) 691-4491
(856) 563-1644
Mailing address
544 ALLOWAY ALDINE RD, ELMER, NJ 08318-2923
(856) 358-2115
(856) 358-1086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00124000
NJ
2255A2300X
Athletic Trainer
RT002111A
PA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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