Individual
BENJAMIN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2285
Mailing address
15625 N DAVIS RD, LODI, CA 95242-9221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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