Individual
MATTHEW JAMES GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6000 J ST, SACRAMENTO, CA 95819-6099
(916) 278-6150
Mailing address
2304 H ST., APT 4, SACRAMENTO, CA 95816-4167
(707) 249-3946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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