Individual
JOSE AURELIO SAUCEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16-718 VOLCANO RD, KEAAU, HI 96749-8150
(808) 982-0632
(808) 982-0655
Mailing address
16-718 VOLCANO RD, KEAAU, HI 96749-8150
(808) 982-0632
(808) 982-0655
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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