Individual
BRIAN THOMAS LATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PES, CES
Contact information
Practice address
10 BRADFORD WAY, MILL VALLEY, CA 94941
(415) 388-8436
Mailing address
10 BRADFORD WAY, MILL VALLEY, CA 94941
(415) 388-8436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
020602046
CA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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