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Individual

MR. JONATHAN GEDALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, NREMT

Contact information

Practice address
27801 DICKASON DR, VALENCIA, CA 91355-4012
(661) 294-1188
Mailing address
27801 DICKASON DR, VALENCIA, CA 91355-4012
(818) 808-3551

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E084823
CA
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/07/2017
Last updated
02/28/2024
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