Individual
ASHLEE GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1701 N ST, JACKSON, MS 39210-0001
(601) 974-1187
Mailing address
1 MILLER PKWY APT 7302, JACKSON, MS 39211-1854
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1036
MS
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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