| NPI | 1700277068 |
|---|---|
| Former Name | JESSICA GUREKOVICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160070207) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |