Individual
BRENDON MICHAEL JONSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
4901 DAWN DR, SUITE 2300, LUMBERTON, NC 28360-8287
(910) 738-1065
Mailing address
4901 DAWN DR, SUITE 2300, LUMBERTON, NC 28360-8287
(910) 738-1065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2399
NC
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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