Individual
JAIME LYNNE DEMCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2673 DELK RD SE, APT I, MARIETTA, GA 30067-5342
(908) 705-7962
Mailing address
2673 DELK RD SE, APT I, MARIETTA, GA 30067-5342
(908) 705-7962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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