Individual
MATTHEW JAMES MAKAROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2960 S CHERRY AVE, FRESNO, CA 93706-5445
(800) 255-7227
Mailing address
2960 S CHERRY AVE, FRESNO, CA 93706-5445
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B10-8697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B10-8697
EMT
CA
Enumeration date
05/19/2022
Last updated
05/19/2022
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