Individual
RASHEYD RAZA JESSE BEVALIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
81501 BISSEL ST, SIERRA VISTA, AZ 85613
(520) 454-7593
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-9200
(520) 533-5246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT9025
TX
2255A2300X
Athletic Trainer
Primary
ATR-100140
AZ
2255A2300X
Athletic Trainer
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Other
Enumeration date
11/22/2021
Last updated
10/01/2024
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