Jennifer Marie Defazio

NPI #1003318056 in Pittsburgh, Pennsylvania

Provider Information

NPI Number: 1003318056
Entity Type: Individual
Name: Jennifer Marie Defazio
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 4200 5TH AVE
City: Pittsburgh
State: Pennsylvania
ZIP Code: 15260-0001
Phone: (412) 624-4141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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