Individual
RUSSELL ROMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
THE JOHN MCKAY CTR, 940 WEST 35TH ST, LOS ANGELES, CA 90089-0602
(213) 761-6553
(213) 740-0504
Mailing address
THE JOHN MCKAY CTR, 940 WEST 35TH ST, LOS ANGELES, CA 90089-0602
(213) 761-6553
(213) 740-0504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
11/11/2014
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