Individual
JASON DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1161 S CARDOZA ST, TULARE, CA 93274-6603
(559) 667-8725
Mailing address
913 W CENTER AVE, VISALIA, CA 93291-5915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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