Individual
MR. DENNIS JOSEPH MESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5800 FULTON AVE, VALLEY GLEN, CA 91401-4062
(818) 778-5540
(818) 947-2560
Mailing address
5800 FULTON AVE, VALLEY GLEN, CA 91401-4062
(818) 778-5540
(818) 947-2560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINING
CA
Enumeration date
07/16/2014
Last updated
07/16/2014
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