Individual
JOSE JOAQUIN SALVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6041 S ELM AVE, FRESNO, CA 93706-6018
(559) 495-5680
Mailing address
4477 E NEVADA AVE, FRESNO, CA 93702-2349
(559) 905-1962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000025712
BOARD OF CERTIFICATION
—
Enumeration date
09/28/2019
Last updated
09/28/2019
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