Individual
MR. JAMES MASTROVITO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
128 CLAREDON CRESCENT, RALEIGH, NC 27610
(919) 856-7918
Mailing address
4504 LOG CABIN DR, RALEIGH, NC 27616-6239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0891
NC
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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