Individual
SUZY S GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
31970 CENTRAL ST, WILDOMAR, CA 92595-9709
(951) 678-7000
Mailing address
11112 MINES BLVD, WHITTIER, CA 90606-1843
(562) 322-3455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
03/17/2018
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