Individual
JASON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5200 N LAKE RD, MERCED, CA 95343-5001
(209) 228-2468
Mailing address
5200 N LAKE RD, MERCED, CA 95343-5001
(209) 228-2468
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
02/27/2018
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