Individual
JOSEPH TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8131 W PARADISE LN, PEORIA, AZ 85382-3826
(619) 997-0955
Mailing address
9486 N 82ND GLN, PEORIA, AZ 85345-3128
(623) 266-9483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0488
AZ
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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