NPI 1023643541

Jordan Williams

Practitioner Athletic Trainer Riverside, CA

Practice location

Address: 11580 Magnolia Ave, Riverside, CA 92505-7737
Phone: (951) 852-8981
Mailing address: 8432 Magnolia Ave, Riverside, CA 92504-3206

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in California →

Registry record

NPI: 1023643541
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Mar 2020
Record last updated: 4 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.