Individual
BRIANA KYERA SIMONE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 KINGSWAY DR, WARNER ROBINS, GA 31088-4002
(843) 230-1766
Mailing address
114 KINGSWAY DR, WARNER ROBINS, GA 31088-4002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060552402
GA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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