Individual
JAN MICHAEL R NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5341 EGGERS DR, FREMONT, CA 94536-7143
(510) 396-9495
Mailing address
5341 EGGERS DR, FREMONT, CA 94536-7143
(510) 396-9495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8113
CA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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