Individual
JASMINE ALYSE ANGUIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
545 CENTRAL AVE, OXNARD, CA 93036-1045
(805) 278-5500
Mailing address
2201 LAVANDA DR, OXNARD, CA 93036-2509
(805) 889-2028
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022826
CA
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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