Individual
MR. JACKSON COLE STEMBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 YELLOWHOUSE CIR APT A, COLLEGE STATION, TX 77840-4899
(469) 855-7059
Mailing address
1815 YELLOWHOUSE CIR APT A, COLLEGE STATION, TX 77840-4899
(469) 855-7059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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