Individual
IEREMIA GARRIGAN AFAMASAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7956 COTTONWOOD LANE, SACRAMENTO, CA 95828
(916) 689-8600
Mailing address
7283 FLORIN MALL DRIVE UNIT 13, SACRAMENTO, CA 95823
(916) 670-2567
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000050260
CA
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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