Individual
BREANA HYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
(225) 377-4728
Mailing address
10310 THE GROVE BLVD, BATON ROUGE, LA 70836-6455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310318
LA
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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