Individual
JYE SHUANG NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 MAIN ST, GRAMBLING, LA 71245-2715
(318) 247-3811
Mailing address
509 VERNON ST, RUSTON, LA 71270-4538
(903) 752-9064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
301540
LA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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