Individual
MR. JOSE A RESENDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. , ATC, LAT
Contact information
Practice address
500 DAVID J STERN WALK, SACRAMENTO, CA 95814-3346
(310) 709-9051
Mailing address
3801 LAKE KATIE WAY, SACRAMENTO, CA 95834-7699
(310) 709-9051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT3023
TX
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020402143
NATA
—
Enumeration date
05/17/2007
Last updated
09/29/2022
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