JARED WILLIAM FAULK

COLUMBIA, MO
NPI1861950727
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-08
Last Update Date2021-08-11
Business Address
JARED WILLIAM FAULK
1222 E WALNUT ST APT 111
COLUMBIA, MO 65201-4972
Phone number: 309-706-0254
Mailing Address
JARED WILLIAM FAULK
3561 ASPEN HEIGHTS PKWY APT C
COLUMBIA, MO 65201-7262
Phone number: 309-706-0254