Individual
MATTHEW RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
(831) 458-6238
(831) 458-6234
Mailing address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
(831) 458-6238
(831) 458-6234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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