Individual
JENA MARIE DIEBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5735 COLLEGE PKWY, MOBILE, AL 36613-2842
(251) 675-5990
Mailing address
1127 WALDEN LN, AUBURN, AL 36830-4507
(859) 559-2472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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