Individual
DOMINIC JOSEPH GRADOZZI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 REDBIRD LN, BEAUMONT, TX 77705-9801
(409) 880-7011
Mailing address
6050 TOWNHOUSE LN, BEAUMONT, TX 77707-1843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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