Individual
SOPHIA ANDREA MATAMOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6032 VILLAGE RD, LAKEWOOD, CA 90713-3129
(800) 724-7451
Mailing address
1410 S BIRCH ST, SANTA ANA, CA 92707-1707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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