Individual
VINCENT MICHAEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
800 EAST MCNEESE ST, LAKE CHARLES, LA 70607
(337) 475-5219
(337) 562-4324
Mailing address
800 EAST MCNEESE ST, LAKE CHARLES, LA 70607
(337) 475-5219
(337) 562-4324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
309997
LA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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