Individual
JOLIE TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 SWAN ST, BATON ROUGE, LA 70813-2260
(225) 771-2712
Mailing address
116 ELIZABETH AVE, ISELIN, NJ 08830-2260
(732) 598-0598
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/17/2019
Last updated
06/11/2019
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