DAVID JACK

FRESNO, CA
NPI1235416686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2011-11-14
Last Update Date2011-11-14
Business Address
Mr. DAVID JACK ATC
1620 E BULLDOG LN
FRESNO, CA 93740-0001
Phone number: 559-278-4170
Mailing Address
Mr. DAVID JACK ATC
1620 E BULLDOG LN
FRESNO, CA 93740-0001
Phone number: 559-278-4170