MICHAEL JAKE WEBSTER

FLORENCE, SC
NPI1740688225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  2000016604)
Enumeration Date2014-12-15
Last Update Date2014-12-15
Business Address
-- MICHAEL JAKE WEBSTER
2439 WILLWOOD DR
FLORENCE, SC 29501-3904
Phone number: 843-855-2269
Mailing Address
-- MICHAEL JAKE WEBSTER
2439 WILLWOOD DR
FLORENCE, SC 29501-3904
Phone number: 843-855-2269