ALFRED ZYGMUNT NOWAK

SAN DIEGO, CA
NPI1578019840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  2000025634)
Enumeration Date2016-08-28
Last Update Date2016-08-28
Business Address
-- ALFRED ZYGMUNT NOWAK ATC
6663 RESERVOIR LN
SAN DIEGO, CA 92115
Phone number: 949-202-8869
Mailing Address
-- ALFRED ZYGMUNT NOWAK ATC
6663 RESERVOIR LN
SAN DIEGO, CA 92115-1510
Phone number: 949-202-8869
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