Individual provider · NPI-1

Jaya Williams

Student in an Organized Health Care Education/Training Program · Bowie, MD

NPI number1356017040

StatusActive

Last updated in NPPESAug 21, 2021

Details

NPI: 1356017040
Entity type: Individual (NPI-1)
Name: Jaya Williams
Sex: Female
Sole proprietor: Yes
Enumeration date: Aug 21, 2021
Certification date: Aug 21, 2021
Last updated: Aug 21, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes
2255A2300X	Specialist/Technologist, Athletic Trainer	–	–

Practice location

13110 Jordans Endeavor Dr
Bowie, MD 20720-3393

Phone 301-395-1773

Mailing address

13110 Jordans Endeavor Dr
Bowie, MD 20720-3393

Phone 301-395-1773

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