Individual
MR. THOMAS A PASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
16375 N ROCKY RD, MEADOW VISTA, CA 95722-9535
(916) 203-0558
Mailing address
16375 N ROCKY RD, MEADOW VISTA, CA 95722-9535
(916) 203-0558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2016
Last updated
04/10/2016
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