Individual
MR. NINO A MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
396 CHALAN SAN ANTONIO BRI BUILDING, TAMUNING, GU 96913
(671) 619-8746
Mailing address
PO BOX 9663, TAMUNING, GU 96931-5663
(671) 488-9229
(674) 647-1606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA07
GU
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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