Individual
MR. PAUL-WAYNE JOHNSON MAHLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS
Contact information
Practice address
455 OCONNOR DR, SUITE 150, SAN JOSE, CA 95128-1633
(408) 293-7767
(408) 294-6595
Mailing address
455 OCONNOR DR, SUITE 150, SAN JOSE, CA 95128-1633
(408) 293-7767
(408) 294-6595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/17/2007
Last updated
12/17/2007
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