Individual
AINSLEY NYEINCHUN MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3850 IRVIN RD, TOMALES, CA 94971
(415) 755-5141
Mailing address
3850 IRVIN RD, TOMALES, CA 94971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000037024
CA
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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