Individual
RAUL JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8453 SW 161ST PL, MIAMI, FL 33193-3080
(305) 904-2549
Mailing address
8453 SW 161ST PL, MIAMI, FL 33193-3080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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