| NPI | 1164785028 |
|---|---|
| Former Name | JESSICA JEAN POSSEHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601000643) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |