Individual
MRS. JACQUELINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9118 TANSEL CREEK DR, INDIANAPOLIS, IN 46234-8859
(219) 713-2562
Mailing address
9118 TANSEL CREEK DR, INDIANAPOLIS, IN 46234-8859
(219) 713-2562
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
IN
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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