Individual
ANDREW MUTNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1547 NE COLORADO STREET, PULLMAN, WA 99164
(775) 223-7238
Mailing address
109J LASCH FOOTBALL BUILDING, UNIVERISTY PARK, PA 16802
(775) 223-7238
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060202167
WA
Other
Enumeration date
05/03/2017
Last updated
09/08/2020
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