Individual
JOHN MUCOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
2227 PIEDMONT AVE, BERKELEY, CA 94720-2325
(925) 980-7862
Mailing address
2227 PIEDMONT AVE, BERKELEY, CA 94720-2325
(925) 980-7862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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