Individual
MR. TIMOTHY JAMES VIOLAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 LA FONDA AVE, SANTA CRUZ, CA 95062-1431
(516) 408-0083
Mailing address
300 LA FONDA AVE, SANTA CRUZ, CA 95062-1431
(516) 408-0083
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003068
NY
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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