Individual
JENNIFER LEA MACESICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CES
Contact information
Practice address
6301 HERNDON RD, DURHAM, NC 27713-6315
(919) 572-6146
Mailing address
6301 HERNDON RD, DURHAM, NC 27616-6177
(919) 572-6146
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
07/25/2013
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