Individual
MR. CHRIS VISTA CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
464 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 262-6009
Mailing address
464 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 262-6009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000191
VA
Other
Enumeration date
02/16/2006
Last updated
10/18/2011
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