MATTHEW D WADE

LA MIRADA, CA
NPI1306304647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-03-05
Last Update Date2019-03-05
Business Address
MATTHEW D WADE ATC
14131 FONSECA AVE
LA MIRADA, CA 90638-3919
Phone number: 562-704-9957
Mailing Address
MATTHEW D WADE ATC
14131 FONSECA AVE
LA MIRADA, CA 90638-3919
Phone number: 562-704-9957
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