Individual
MALIA MATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 BARNARD DR, OCEANSIDE, CA 92056-3820
(760) 757-2121
Mailing address
1616 S PACIFIC ST, APT E, OCEANSIDE, CA 92054-5830
(760) 522-2692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018448
CA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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