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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TOM E BLANCO, MAT, ATC

Active

MR. TOM E BLANCO, MAT, ATC is a Athletic Trainer healthcare provider located in LOMPOC, California. NPI 1578784294 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LOMPOC, CA

Registration Details

NPI Number
1578784294
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2007 (19.319608924703 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
515 W COLLEGE AVE
LOMPOC, CA, 934364401
Browse CA providers · Browse ZIP 93436
Phone
8057423000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LOMPOC, CA

Name Credential NPI
MRS. DOLLY CECILIA WUITSCHICK A.T.C., P.T.A 1700844974
ANGELA LYNN GONZALEZ 1548756695
MR. MICHAEL TILLERY ATC 1164980694
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.