Individual
JADE CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
408 W SHIAWASSEE AVE, FENTON, MI 48430-2097
(616) 405-3981
Mailing address
408 W SHIAWASSEE AVE, FENTON, MI 48430-2097
(616) 405-3981
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001304
MI
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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