Individual
RAPHAEL GABRIEL Z DELOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1021 N HOOVER ST APT 215, LOS ANGELES, CA 90029-3090
(213) 422-2348
Mailing address
1021 N HOOVER ST APT 215, LOS ANGELES, CA 90029-3090
(213) 422-2348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200005609
—
Other
Enumeration date
10/17/2023
Last updated
07/07/2024
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