Individual
GILLIAN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC
Contact information
Practice address
1 MANGINI WAY, BURLINGAME, CA 94010-1904
(415) 798-7052
Mailing address
1 MANGINI WAY, BURLINGAME, CA 94010-1904
(415) 798-7052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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