MRS. Mary Jessica Langston, MS, ATC, LAT
NPI #1154795219 in Gulf Breeze, Florida
Provider Information
- NPI Number
- 1154795219
- Entity Type
- Individual
- Name
- MRS. Mary Jessica Langston, MS, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, LAT
- Enumeration Date
- Nov 30, 2015
- Last Updated
- Nov 30, 2015
Practice Location
- Address
- 1040 GULF BREEZE PKWY STE 101
- City
- Gulf Breeze
- State
- Florida
- ZIP Code
- 32561-7808
- Phone
- (850) 598-7456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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