Individual
PABLO RAUL FONTORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PES
Contact information
Practice address
17227 MOUNT STEPHEN AVE, SANTA CLARITA, CA 91387-3135
(661) 889-1490
Mailing address
17227 MOUNT STEPHEN AVE, SANTA CLARITA, CA 91387-3135
(661) 250-4833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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