Jessica L Walz

NPI #1003332651 in Manchester, Michigan

Provider Information

NPI Number: 1003332651
Entity Type: Individual
Name: Jessica L Walz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 16, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 9235 GROSSMAN RD
City: Manchester
State: Michigan
ZIP Code: 48158
Phone: (313) 350-0812

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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