Individual
JESSICA M CALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12806 FAIRWAY RD, VICTORVILLE, CA 92392
(626) 488-5650
Mailing address
7519 SVL BOX, VICTORVILLE, CA 92395-5157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030101
CA
Other
Enumeration date
08/21/2017
Last updated
02/19/2021
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