MISS Jordan Grace Richmond, ATC
NPI #1780041442 in Glendora, California
Provider Information
- NPI Number
- 1780041442
- Entity Type
- Individual
- Name
- MISS Jordan Grace Richmond, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 26, 2016
- Last Updated
- Oct 26, 2016
Practice Location
- Address
- 651 E FOOTHILL BLVD
- City
- Glendora
- State
- California
- ZIP Code
- 91741-2713
- Phone
- (909) 731-5934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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