Individual
MR. TAYLOR NEIL MASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5150 N MAPLE AVE, M/S JA 71, FRESNO, CA 93740-0001
(559) 278-2400
Mailing address
107 E SIERRA AVE, #117, FRESNO, CA 93710-3604
(831) 869-9946
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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