Individual
JAYNA D HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11408 FOREST SQ, LIVE OAK, TX 78233-4363
(210) 324-9429
Mailing address
11408 FOREST SQ, LIVE OAK, TX 78233-4363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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