Individual
JASON BARRON NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-2073
(760) 924-4084
Mailing address
PO BOX 513, MAMMOTH LAKES, CA 93546-0051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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