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Individual

MISS JESSICA LAUREN NASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
6800 MARLBORO PIKE, FORESTVILLE, MD 20747-3238
(301) 735-8401
Mailing address
9662 CANTERBURY RIDING, LAUREL, MD 20723-1401
(703) 655-2403

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/06/2007
Last updated
05/22/2014
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