Individual
TRENTON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1050 RUTH ST, PRESCOTT, AZ 86301-1730
(928) 445-2322
Mailing address
1050 RUTH ST, PRESCOTT, AZ 86301-1790
(928) 445-2322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1357
AZ
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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