Mazza, Jesse J

Mazza, Jesse J is an individual health care provider with primary practice located at 50 Acacia Ave , San Rafael CA 94901-2230. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mazza, Jesse J can be contacted via phone (415) 257-1353.

Contact Information

Primary practice address
50 Acacia Ave San Rafael CA 94901-2230
Phone: (415) 257-1353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1417921339
LBN Legal business name Mazza, Jesse J
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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