Jacquilyn Brazda

NPI #1134529811 in Elkhorn, Nebraska

Provider Information

NPI Number: 1134529811
Entity Type: Individual
Name: Jacquilyn Brazda
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 18480 CHICAGO CT APT 203
City: Elkhorn
State: Nebraska
ZIP Code: 68022-7937
Phone: (402) 443-6370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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