Individual
JORDAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11580 MAGNOLIA AVE, RIVERSIDE, CA 92505-7737
(951) 852-8981
Mailing address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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