Individual
YAQUANDA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6722 WOODSIDE DR N, THEODORE, AL 36582-6095
(404) 408-3911
Mailing address
6722 WOODSIDE DR N, THEODORE, AL 36582-6095
(404) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
11490
AL
2255A2300X
Athletic Trainer
AT0651
MS
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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