Individual
MR. JASON ALAN BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
846/848 GRAVENSTEIN HIGHWAY SOUTH, SEBASTOPOL, CA 95472
(707) 861-9687
Mailing address
110 APPLE CREEK LN, SANTA ROSA, CA 95401-6181
(208) 412-6577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
02/26/2021
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