Individual
MATTHEW ROBERT VANEENOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1111 E WESTVIEW CT STE A, SPOKANE, WA 99218-1376
(509) 465-1749
Mailing address
6320 N CALISPEL ST APT 17, SPOKANE, WA 99208-3972
(206) 372-5081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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