Individual
MR. FRED TALENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
12100 WOODFORD DR, MARRIOTTSVILLE, MD 21104-1454
(410) 313-5568
Mailing address
2118 BECKETT WAY, WOODSTOCK, MD 21163-1359
(410) 313-8595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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