Individual
JESSICA BRAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1655
Mailing address
6143 NW 11TH ST, LINCOLN, NE 68521-3717
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24451
NE
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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