Individual
JANA FAITH ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 MCCALLIE AVE, CHATTANOOGA, TN 37403-2504
(423) 425-4111
Mailing address
975 TOUCAN LN, CORONA, CA 92879-0814
(951) 833-8587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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