Individual
ANTONIO GUDINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT
Contact information
Practice address
19919 WALLINGFORD AVE N, SHORELINE, WA 98133-3728
(505) 319-6378
Mailing address
19919 WALLINGFORD AVE N, SHORELINE, WA 98133-3728
(505) 319-6378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60037018
WA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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