KHALIL JETER

AMES, IA
NPI1003656430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2024-05-31
Last Update Date2024-05-31
Business Address
KHALIL JETER
534 WALLACE RD
AMES, IA 50011-4008
Phone number: 515-294-8009
Mailing Address
KHALIL JETER
534 WALLACE RD
AMES, IA 50011-4008
Phone number: