Individual
HUNTER LYNN GANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-1610
Mailing address
15 CAVAILLON, NEWPORT COAST, CA 92657-0133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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