Individual
JORDAN NASH-BOULDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 S LAKESHORE DR, TEMPE, AZ 85283-3049
(480) 838-3200
Mailing address
29210 N 50TH PL, CAVE CREEK, AZ 85331-2349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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