Individual
JEREMY VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 FAIRGROUND RD, GRENADA, MS 38901-5216
(707) 346-0335
Mailing address
908 LANERE DR, OLIVE BRANCH, MS 38654-9744
(707) 346-0335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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