Jamie Marie Derollo, MBA, ATC

Athletic Trainer · Stockton, CA

Individual Active NPI

NPI number 1558764274

Practice location

5151 Pacific Ave
Stockton, CA 95207-6304
Phone
(209) 954-5181
Fax
(209) 954-5696

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NPI record

NPI
1558764274
Entity type
Individual (Type 1)
Enumeration date
October 8, 2014
Last updated
October 8, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

Mailing address

5303 Spaulding Ct
Riverbank, CA 95367-9463
Phone
(209) 954-5181
Fax
(209) 954-5696

About Jamie Derollo

Jamie Marie Derollo, MBA, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 5151 Pacific Ave, Stockton, CA 95207-6304. The NPI number 1558764274 was assigned on October 8, 2014 and the record was last updated on October 8, 2014.

Frequently asked questions

What is the NPI number of Jamie Marie Derollo, MBA, ATC?

The NPI number is 1558764274.

What is the phone number of Jamie Derollo?

The phone number listed for the practice location is (209) 954-5181.

Where is Jamie Derollo located?

5151 Pacific Ave, Stockton, CA 95207-6304.

What is the taxonomy code for Jamie Derollo?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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