Individual
JAMIE WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 PRESTON RD, AMBULATORY CARE PAVILLION, P3600, PLANO, TX 75024-3214
(469) 303-5000
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3033
TX
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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