Individual
MIKE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1801 PANORAMA DR, BAKERSFIELD, CA 93305-1219
(661) 395-4475
Mailing address
11925 APRIL ANN AVE, BAKERSFIELD, CA 93312-4601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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