Thomas Michael Carmona JR.

NPI #1255958849 in Lake Forest, California

Provider Information

NPI Number: 1255958849
Entity Type: Individual
Name: Thomas Michael Carmona JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 29, 2020
Last Updated: Jun 29, 2020

Practice Location

Address: 25665 FALLENWOOD
City: Lake Forest
State: California
ZIP Code: 92630-6460
Phone: (951) 746-7527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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