Individual
ROYAL MILTON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1121 W JACQUELINE ST, GONZALES, LA 70737-3708
(504) 875-9656
Mailing address
PO BOX 1511, GONZALES, LA 70707-1511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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