Individual
MRS. JENNA LYNNE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
MOUNT DE SALES ACADEMY, 851 ORANGE ST, MACON, GA 31201
(478) 751-3240
Mailing address
5735 RIVER RIDGE LN, SUGAR HILL, GA 30518-7466
(478) 335-8726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001219
GA
2255A2300X
Athletic Trainer
—
GA
Other
Enumeration date
07/18/2006
Last updated
12/04/2024
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