Individual
MARC HINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3434 VILLA TER, SAN DIEGO, CA 92104-3424
(706) 304-8004
Mailing address
3434 VILLA TER, SAN DIEGO, CA 92104-3424
(706) 304-8004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002554
CO
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2022
Last updated
05/03/2023
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