Individual
JONATHAN SCOTT SURFACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1000 EL CAMINO REAL, ATHERTON, CA 94027-4300
(650) 543-3756
Mailing address
680 CEDAR ST APT 6, SAN CARLOS, CA 94070-3038
(530) 400-5524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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