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Mike Medeiros, ATC

Specialist/Technologist, Athletic Trainer in Bakersfield, CA. Individual provider (NPI-1).

NPI number1780241802
StatusActive
Last updated in NPPESMay 23, 2019

Details

NPI
1780241802
Entity type
Individual (NPI-1)
Name
Mike Medeiros
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2019
Last updated
May 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1801 Panorama Dr
Bakersfield, CA 93305-1219

Phone 661-395-4475

Mailing address

11925 April Ann Ave
Bakersfield, CA 93312-4601

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