Individual
JESSICA RENEE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2899
(619) 849-2914
Mailing address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2899
(619) 849-2954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8489
TX
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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