Individual
MR. JEREMIAH RICHARD MUSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3800 UNIVERSITY PKWY, APT. #112, NATCHITOCHES, LA 71457-3581
(951) 675-0917
Mailing address
9590 BALSA ST, RANCHO CUCAMONGA, CA 91730-2210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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