JANA RAVEN PONDER

WASHINGTON, DC
NPI1891259776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence:   2000038384)
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-01-25
Last Update Date2020-06-10
Business Address
JANA RAVEN PONDER ATC
420 OAKWOOD ST SE
WASHINGTON, DC 20032-1619
Phone number: 202-549-4263
Mailing Address
JANA RAVEN PONDER ATC
420 OAKWOOD ST SE
WASHINGTON, DC 20032-1619
Phone number: 202-549-4263