Individual
MRS. BRIANNA ALEXANDRIA HENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T., A.T.C.
Contact information
Practice address
18601 MIDDLEBELT RD, ROMULUS, MI 48174-9290
(661) 753-6579
Mailing address
998 E FOREST AVE, YPSILANTI, MI 48198-3877
(661) 753-6579
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001390
MI
2255A2300X
Athletic Trainer
AT.004820
OH
Other
Enumeration date
01/01/2015
Last updated
05/01/2019
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