Individual
AMADI JE'VON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5322 FOSSIL STONE LN, RICHMOND, TX 77407-5375
(817) 919-2297
Mailing address
5322 FOSSIL STONE LN, RICHMOND, TX 77407-5375
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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