Individual
JORDAN AYANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5735 COLLEGE PKWY, MOBILE, AL 36613-2842
(251) 442-2222
Mailing address
1114 CARRE DR W, MOBILE, AL 36618-1752
(251) 209-6051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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