Individual
JESSICA MARIE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2020 N 42ND ST, WACO, TX 76710-3012
(254) 379-8099
Mailing address
3905 HOMAN AVE, WACO, TX 76707-1647
(254) 424-8851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3916
TX
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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