Individual
PHOENIX SIANNI TOPETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, ATC
Contact information
Practice address
11155 ALMOND AVE, FONTANA, CA 92337-7113
(909) 357-5900
Mailing address
12015 SPARTAN LN, FONTANA, CA 92337-9071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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