Individual
JONATHAN DAVID SEMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6000 J ST, SACRAMENTO, CA 95819-2605
(916) 278-9355
Mailing address
10424 GRASS VALLEY CT, STOCKTON, CA 95209-4549
(209) 938-7131
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-10256506
OR
Other
Enumeration date
02/28/2025
Last updated
01/09/2026
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