| NPI | 1659365468 |
|---|---|
| Former Name | JENNELL LYNN HOAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT003301) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |