Individual
JESSIE KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
680 CALIFORNIA AVE, IRVINE, CA 92617-5156
(949) 824-2017
Mailing address
13526 LA JARA ST, CERRITOS, CA 90703-6350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000033150
CA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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