Individual
JENNIFER O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1928 SAINT MARYS RD, MORAGA, CA 94575-2715
(925) 631-8567
Mailing address
275 DANIELS AVE, VALLEJO, CA 94590-3038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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