Individual
JARRAD MARSHALL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9331 VIENTO FUERTE WAY, LA MESA, CA 91941-6820
(619) 820-0872
Mailing address
9331 VIENTO FUERTE WAY, LA MESA, CA 91941-6820
(619) 820-0872
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
020402189
CA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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