Individual
JASON MCMULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3421 36TH ST APT 15, SAN DIEGO, CA 92104-4434
(619) 405-5736
Mailing address
3421 36TH ST APT 15, SAN DIEGO, CA 92104-4434
(619) 405-5736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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