Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JORDAN GRACE RICHMOND, ATC
Active Sole ProprietorMISS JORDAN GRACE RICHMOND, ATC is a Athletic Trainer healthcare provider located in GLENDORA, California. NPI 1780041442 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GLENDORA, CA
Registration Details
- NPI Number
- 1780041442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2016 (10.530724022511 yrs)
- Last Updated
- Oct 26, 2016
- License
-
1510 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
651 E FOOTHILL BLVDGLENDORA, CA, 917412713Browse CA providers · Browse ZIP 91741
- Phone
- 9097315934
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in GLENDORA, CA
| Name | Credential | NPI |
|---|---|---|
| REBECCA LOHRENZ | ATC | 1124547641 |
| MISS VALENCIA MARIE HAMILTON | MS,ATC | 1639782113 |
| JOELLE LUNA PASALO | MS, ATC | 1235976929 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.