JENNIFER STAVENGER

SIOUX FALLS, SD
NPI1063888113
Former NameJENNIFER SANDQUIST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0315)
Enumeration Date2015-08-12
Last Update Date2015-08-12
Business Address
-- JENNIFER STAVENGER ATC
3909 E BROOKLINE DR
SIOUX FALLS, SD 57103-5702
Phone number: 605-360-6135
Mailing Address
-- JENNIFER STAVENGER ATC
3909 E BROOKLINE DR
SIOUX FALLS, SD 57103-5702
Phone number: 605-360-6135