Individual
MR. JERRY LEE LLOYD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
444 W OSBORN RD, SUITE 303, PHOENIX, AZ 85013-3814
(602) 279-8022
Mailing address
4138 N 47TH ST, PHOENIX, AZ 85018-4313
(602) 952-1508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0210
AZ
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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