Individual
MRS. JAMIE KAY WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2118 WELSH AVE, COLLEGE STATION, TX 77840-4867
(979) 764-5536
(979) 764-5528
Mailing address
1413 FRONT ROYAL DR, COLLEGE STATION, TX 77845-4003
(682) 651-9028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2961
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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