Individual
MICHAEL A. CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35000 GUADALCANAL AVE, SAN DIEGO, CA 92140-5599
(619) 524-8167
Mailing address
10350 SAN CARLOS CT, SPRING VALLEY, CA 91978-1050
(619) 252-5653
(866) 794-3794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069902752
CA
Other
Enumeration date
04/26/2007
Last updated
06/10/2015
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