Most Relevant Information
Provider Data
| NPI Number: | 1003394461 |
| Provider Name: | JESSICA HUNTOON ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | A01032 |
Most Important Dates
| Enumeration Date: | 07/29/2018 |
| Last Updated: | 07/29/2018 |
Provider Practice Location
511 CHELSEA RD
ABERDEEN
MD
210014305
Practice Location Phone/Fax
| Phone: | 5302622253 |
| Fax: |
Provider Mailing Location
866 ONTARIO ST APT 1
HAVRE DE GRACE
MD
210782857
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |