Individual
VINCENT MAZZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3801 WINCHELL AVE, APT 202, KALAMAZOO, MI 49008-2038
(630) 854-6097
Mailing address
3801 WINCHELL AVE, APT 202, KALAMAZOO, MI 49008-2038
(630) 854-6097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2015
Last updated
03/22/2017
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