Individual
MARISSA ANGEL TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2211
Mailing address
3601 PACIFIC AVE, STOCKTON, CA 95211-0197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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