JAMIE DESTACHE

STEVENS POINT, WI
NPI1558748780
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-04-27
Last Update Date2016-08-08
Business Address
-- JAMIE DESTACHE
2050 4TH AVE
STEVENS POINT, WI 54481-1910
Phone number: 262-527-5200
Mailing Address
-- JAMIE DESTACHE
1910 COLUMBIA ST
EUGENE, OR 97403-1440
Phone number: 262-527-5200