JAKE SMITH

SAN DIEGO, CA
NPI1437616166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  2000028483)
Enumeration Date2019-02-28
Last Update Date2019-02-28
Business Address
JAKE SMITH ATC
3900 LOMALAND DR
SAN DIEGO, CA 92106-2899
Phone number: 619-244-1291
Mailing Address
JAKE SMITH ATC
7385 PRINCETON AVE
LA MESA, CA 91942-8717
Phone number: