NOUTENG LY

GREEN BAY, WI
NPI1700602380
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2024-11-27
Last Update Date2024-11-27
Business Address
NOUTENG LY ATC
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number: 920-288-4700
Mailing Address
NOUTENG LY ATC
2053 HILLSIDE LN
GREEN BAY, WI 54302-4053
Phone number: