Individual
MADISON ELIZABETH THORNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 DOLORES PL, PLEASANTON, CA 94566-7681
(925) 200-8170
Mailing address
530 DOLORES PL, PLEASANTON, CA 94566-7681
(925) 200-8170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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