JORDAN ELIZABETH BLOUGH

JEFFERSON, LA
NPI1982190591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200209)
Enumeration Date2018-07-06
Last Update Date2018-07-06
Business Address
JORDAN ELIZABETH BLOUGH ATC
1201 S CLEARVIEW PKWY
JEFFERSON, LA 70121-1015
Phone number: 504-736-4800
Mailing Address
JORDAN ELIZABETH BLOUGH ATC
1212 FOCIS ST
METAIRIE, LA 70005-2318
Phone number: 941-356-7483