Individual
MADISON GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 CURTIS ST, SAN DIEGO, CA 92106-1306
(619) 961-5146
Mailing address
3520 CURTIS ST, SAN DIEGO, CA 92106-1306
(619) 961-5146
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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