Individual
JEFFREY S WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
200 MARITIME ACADEMY DR DEPT OF, VALLEJO, CA 94590-8181
(707) 654-1055
Mailing address
345 DALE CT, BENICIA, CA 94510-2133
(707) 592-4265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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