Individual
JESSA BAISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
526 5TH ST, CHENEY, WA 99004-1619
(509) 359-2427
Mailing address
6405 N WALNUT ST, SPOKANE, WA 99217-9615
(360) 927-9958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
05/11/2021
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