Individual
SCOTT PATRICK NASTASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, AT
Contact information
Practice address
1765 W CERRITOS AVE, ANAHEIM, CA 92804-6197
(714) 999-3677
Mailing address
1765 W CERRITOS AVE, ANAHEIM, CA 92804-6197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000014612
CA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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