Individual
MR. BRYAN JAMES JAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
ALINA HEALTH, 8100 WEST 78TH STREET, SUITE 225, EDINA, MN 55439
(952) 946-9777
Mailing address
ALINA HEALTH, 8100 WEST 78TH STREET, SUITE 225, EDINA, MN 55439
(952) 946-9777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2383
MN
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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