Individual
MATTHEW SIMOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1430 E COVINA BLVD, COVINA, CA 91724-1651
(626) 915-5841
Mailing address
1430 E COVINA BLVD, COVINA, CA 91724-1651
(626) 915-5841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC314838
CA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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