Individual
ALLEN JAKE AGANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CES
Contact information
Practice address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(415) 422-2725
Mailing address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(415) 422-2725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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