Individual
AARON JOEL SEVERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 W ORANGEBURG AVE, MODESTO, CA 95350-3805
(209) 483-3973
Mailing address
1630 W ORANGEBURG AVE, MODESTO, CA 95350-3805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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