Kelvin Miguel Maradiaga
NPI #1982469003 in Montclair, California
Provider Information
- NPI Number
- 1982469003
- Entity Type
- Individual
- Name
- Kelvin Miguel Maradiaga
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 19, 2024
- Last Updated
- Feb 19, 2024
Practice Location
- Address
- 11165 KIMBERLY AVE
- City
- Montclair
- State
- California
- ZIP Code
- 91763-6331
- Phone
- (626) 364-6686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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