Individual
JAIME POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AT
Contact information
Practice address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(657) 278-4987
Mailing address
4020 E 15TH ST, LONG BEACH, CA 90804-3032
(937) 272-6567
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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