Individual
JAMIE SUPERAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9341 FRAMINGTON WAY, ELK GROVE, CA 95758-4014
(916) 599-2317
Mailing address
9341 FRAMINGTON WAY, ELK GROVE, CA 95758-4014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2015
Last updated
03/03/2025
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