Individual
JAIMEE REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
320 N WAYNE ST, MILLEDGEVILLE, GA 31061-2857
(478) 445-1787
Mailing address
130 N PICKENS ST, UNIT A, MILLEDGEVILLE, GA 31061-3160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001829
GA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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