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Individual

JUSTIN HONDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 EL CAMINO REAL, ATHERTON, CA 94027-4300
(805) 791-7996
Mailing address
3641 HIGHBURY CT, SIMI VALLEY, CA 93063-1163
(805) 791-7996

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/05/2017
Last updated
06/05/2017
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