Individual
EDGAR MUNOZ TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
649 ALICE RAE CIR, GALT, CA 95632-1577
(209) 570-1977
Mailing address
649 ALICE RAE CIR, GALT, CA 95632-1577
(209) 570-1977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
04/25/2021
Last updated
04/25/2021
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