Individual
ALEXANDER DASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
03146 FAITH AVE, JOINT BASE LEWIS MCCHORD, WA 98433
(541) 363-6378
Mailing address
12851 HASTER ST APT 15G, GARDEN GROVE, CA 92840-6561
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
08/09/2022
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