Individual
ALLEN SWADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5241 N MAPLE AVE, FRESNO, CA 93740-0001
(559) 538-0808
Mailing address
4909 N BACKER AVE APT 128, FRESNO, CA 93726-1318
(559) 538-0808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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