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Individual

JESSICA M BOOZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
321 DORCHESTER AVE, CAMBRIDGE, MD 21613-2425
(410) 228-5100
(410) 228-7479
Mailing address
501 FAIRMONT AVE., SUITE 302, TOWSON, MD 21286
(844) 748-6878

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00378
MD
2255A2300X
Athletic Trainer
J3-0000476
DE

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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