| NPI | 1245242460 |
|---|---|
| Former Name | JAMIE LYNN GRACIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001322) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |