Williams, Jesse

Williams, Jesse is an sole proprietor health care provider with primary practice located at 14553 Milestone St , Moreno Valley CA 92555-5719. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Williams, Jesse can be contacted via phone (562) 922-4668.

Contact Information

Primary practice address
14553 Milestone St Moreno Valley CA 92555-5719
Phone: (562) 922-4668
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1760831689
LBN Legal business name Williams, Jesse
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2016
Last updated Dec 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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