Individual
JENNIFER VANNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
601 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1536
(609) 894-9311
Mailing address
601 PEMBERTON BROWNS MILLS RD, PEMBERTON, NJ 08068-1536
(609) 894-9311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00145700
NJ
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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