Individual
LADEJA BRIAUNNA BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,SCATA
Contact information
Practice address
860 LONGLEAF RD, RIDGEWAY, SC 29130-8571
(803) 468-0748
Mailing address
860 LONGLEAF RD, RIDGEWAY, SC 29130-8571
(803) 468-0748
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03086
SC
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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