MR. Maynor Antonio Grijalva, MS, LAT, ATC
NPI #1659038495 in Lynn, Massachusetts
Provider Information
- NPI Number
- 1659038495
- Entity Type
- Individual
- Name
- MR. Maynor Antonio Grijalva, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Nov 28, 2021
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 1000 WESTERN AVE
- City
- Lynn
- State
- Massachusetts
- ZIP Code
- 01905-2655
- Phone
- (978) 880-5178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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