Individual
BRANDON FRESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12617 FAIRHAVEN DR, BATON ROUGE, LA 70815-6817
(225) 337-0021
Mailing address
777 GLADES RD, BOCA RATON, FL 33431-6496
(225) 337-0021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5603
FL
Other
Enumeration date
06/22/2015
Last updated
07/10/2020
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