| NPI | 1851337224 |
|---|---|
| Former Name | JERLYN DEE PADEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: KS 24-00056) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-11-18 |