Individual
JARED WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NASM-PES
Contact information
Practice address
125 MILL CREEK LN, HAUGHTON, LA 71037-9281
(318) 464-4884
Mailing address
125 MILL CREEK LN, HAUGHTON, LA 71037-9281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1599
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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