Individual
JORDYN M COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 WATER WAY APT 7, HAMPTON, VA 23666-5896
(310) 988-8691
Mailing address
2781 MAGNOLIA AVE, LONG BEACH, CA 90806-2519
(310) 988-8691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000056220
CA
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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