Individual provider · NPI-1

Allen Jake Aganus, MS, ATC, CES

Specialist/Technologist, Athletic Trainer · San Francisco, CA

NPI number1902213796
StatusActive
Last updated in NPPESJul 14, 2014

Details

NPI
1902213796
Entity type
Individual (NPI-1)
Name
Allen Jake Aganus
Credential
MS, ATC, CES
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 14, 2014
Last updated
Jul 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–CAYes

Practice location

2130 Fulton St
San Francisco, CA 94117-1080

Phone 415-422-2725

Mailing address

2130 Fulton St
San Francisco, CA 94117-1080

Phone 415-422-2725

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