Individual provider · NPI-1
Jared Mathew Rosales
Specialist/Technologist, Athletic Trainer · Ventura, CA
NPI number1932767654
StatusActive
Last updated in NPPESMay 29, 2019
Details
- NPI
- 1932767654
- Entity type
- Individual (NPI-1)
- Name
- Jared Mathew Rosales
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2019
- Last updated
- May 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9773 Chamberlain StVentura, CA 93004-3081
Phone 805-218-0339
Mailing address
9773 Chamberlain StVentura, CA 93004-3081
Phone 805-218-0339
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