Individual
JENNIFER M LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
3801 W TEMPLE AVE, ATHLETIC DEPARTMENT, POMONA, CA 91768-2557
(909) 869-2820
(909) 869-2814
Mailing address
1231 S GOLDEN WEST AVE, UNIT 12, ARCADIA, CA 91007-7456
(626) 419-4261
(909) 869-2814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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