Individual
BRENDA PAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W INNES ST, SALISBURY, NC 28144-2441
(715) 281-6946
Mailing address
705 S MILL ST, WEYAUWEGA, WI 54983-8524
(715) 281-6946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2455
NC
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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