Individual
JONATHAN IGNACIO OCHOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 W INGLENOOK DR APT 2417, MIDVALE, UT 84047-5391
(323) 580-7954
Mailing address
3418 ATHOL ST, BALDWIN PARK, CA 91706-3712
(323) 580-7954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
F5092774
CA
Other
Enumeration date
06/01/2018
Last updated
05/22/2020
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