Individual
MR. MANUEL ANTONIO ESCALANTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3036 WINFIELD AVE, LA VERNE, CA 91750-3696
(909) 241-4032
Mailing address
3036 WINFIELD AVE, LA VERNE, CA 91750-3696
(909) 241-4032
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0701102091
CA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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