Individual
JONATHAN MARQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2303 MISSION GLEN DR, SANTA CLARA, CA 95051-1214
(408) 836-0167
Mailing address
2303 MISSION GLEN DR, SANTA CLARA, CA 95051-1214
(408) 836-0167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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