Individual
TASHANEE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S MARSALIS AVE, DALLAS, TX 75216-5905
(214) 932-7095
Mailing address
3601 S MARSALIS AVE, DALLAS, TX 75216-5905
(214) 932-7095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5689
TX
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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