Individual
ALFRED ZYGMUNT NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6663 RESERVOIR LN, SAN DIEGO, CA 92115
(949) 202-8869
Mailing address
6663 RESERVOIR LN, SAN DIEGO, CA 92115-1510
(949) 202-8869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025634
CA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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