Individual
SANTANA MATTHEW VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 N CLINTON ST, DEFIANCE, OH 43512-1610
(419) 783-2829
Mailing address
317 PINEWOOD ST, DEFIANCE, OH 43512-3521
(419) 980-8426
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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