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Individual

MR. ALEX MADERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5241 N MAPLE AVE, FRESNO, CA 93740-0001
(559) 278-4240
Mailing address
712 WASHINGTON AVE, YUBA CITY, CA 95991-2840
(530) 329-0783

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CA

Other

Enumeration date
07/01/2022
Last updated
07/01/2022
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