Individual
JENNIFER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-4213
(630) 915-7603
Mailing address
6102 S CLAIBORNE AVE, NEW ORLEANS, LA 70125-4213
(630) 915-7603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
320900
LA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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