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Individual

DANIEL MATOTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 985-4111
Mailing address
1452 S WHITE AVE APT 12, POMONA, CA 91766-7701
(626) 587-5631

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/31/2023
Last updated
07/31/2023
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