MISS Jenna Sue Stanish
NPI #1811666308 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1811666308
- Entity Type
- Individual
- Name
- MISS Jenna Sue Stanish
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 13 PORTER RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-1414
- Phone
- (203) 707-3052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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