Individual
JORDAN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6497 BROOKHILLS CT SE, GRAND RAPIDS, MI 49546-7280
(616) 949-6522
Mailing address
6497 BROOKHILLS CT SE, GRAND RAPIDS, MI 49546-7280
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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