Individual
JENNA WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(810) 820-0104
Mailing address
1577 KINGS CARRIAGE RD, GRAND BLANC, MI 48439-8716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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