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Individual

JANNELLE TOMO HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
616 HIDDEN VALLEY DR, AZUSA, CA 91702-1404
(626) 428-2350
Mailing address
616 HIDDEN VALLEY DR, AZUSA, CA 91702-1404

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/04/2022
Last updated
08/04/2022
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