Individual
JOAQUIN JOSE VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
416 ROYAL OAKS ST, LAREDO, TX 78043-5077
(956) 236-4822
Mailing address
416 ROYAL OAKS ST, LAREDO, TX 78043-5077
(956) 236-4822
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-2841
TX
Other
Enumeration date
05/14/2021
Last updated
05/27/2021
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