Individual
REZA TAHMOURES ROSTAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, CSCS, EMT-B
Contact information
Practice address
8151 BEAVER LAKE DR, SAN DIEGO, CA 92119-2601
(619) 665-8837
Mailing address
8151 BEAVER LAKE DR, SAN DIEGO, CA 92119-2601
(619) 665-8837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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