Charles Aidan McBruce Patterson, CSCS
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1114763539
StatusActive
Last updated in NPPESJul 4, 2024
Details
- NPI
- 1114763539
- Entity type
- Individual (NPI-1)
- Name
- Charles Aidan McBruce Patterson
- Credential
- CSCS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2024
- Certification date
- Jul 4, 2024
- Last updated
- Jul 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
3910 Chapman St Apt 121San Diego, CA 92110-5653
Phone 650-417-5991
Mailing address
3910 Chapman St Apt 121San Diego, CA 92110-5653
Phone 650-417-5991
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