Individual
MR. ERNEST ANTHONY DELOSANGELES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2220 N SAN JOSE ST, STOCKTON, CA 95204-5037
(209) 607-7035
Mailing address
2220 N SAN JOSE ST, STOCKTON, CA 95204-5037
(209) 607-7035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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