Individual
IRENE KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 LASSO DR, WARNER ROBINS, GA 31088-6648
(000) 000-0000
Mailing address
200 LASSO DR, WARNER ROBINS, GA 31088-6648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
04/29/2025
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