Individual
JADE MARIE CEDENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3950 NEWMAN RD, JOPLIN, MO 64801-1512
(417) 625-3156
Mailing address
4120 S HILLCREST AVE APT B302, SPRINGFIELD, MO 65807-5615
(951) 526-3594
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021034192
MO
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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