Individual
TREJA MCCLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 LA PLZ STE 100, COTATI, CA 94931-5216
(707) 772-6256
Mailing address
1818 LA PLZ STE 100, COTATI, CA 94931-5216
(707) 772-6256
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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