Individual
SARAH NICHOLE JANUARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. , ATC
Contact information
Practice address
2821 MARIETTA CT, STOCKTON, CA 95207-2306
(209) 423-3597
Mailing address
2821 MARIETTA CT, STOCKTON, CA 95207-2306
(209) 423-3597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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