Individual
JODI LYNN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
31300 RANCHO COMMUNITY WAY, TEMECULA, CA 92592-2805
(951) 326-9440
Mailing address
31300 RANCHO COMMUNITY WAY, TEMECULA, CA 92592-2805
(951) 326-9440
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
890219099
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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