Individual
MR. CARLOS COUTO MEDEIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1860 EL CAMINO REAL, SUITE 420, BURLINGAME, CA 94010-3127
(650) 652-2376
Mailing address
1860 EL CAMINO REAL, 420, BURLINGAME, CA 94010-3127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2011
Last updated
06/28/2012
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