Individual
MR. MBALULA HITOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
14195 MONTEREY PINES DR, TAMPA, FL 33613-6485
(813) 606-0367
Mailing address
14195 MONTEREY PINES DR, TAMPA, FL 33613-6485
(813) 606-0367
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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