Individual
JORDYN LEIGH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 MERRYMAN RD, GLENBURN, ME 04401-1021
(406) 439-9880
Mailing address
88 MERRYMAN RD, GLENBURN, ME 04401-1021
(406) 439-9880
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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