Individual
PATRICK JOHN DELA CRUZ LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1600 OWENS ST, SAN FRANCISCO, CA 94158-2261
(628) 242-6707
Mailing address
4188 GLENWOOD TER UNIT 1, UNION CITY, CA 94587-3908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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