Individual
MR. RAYMOND TABUENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1925 MAGDALENA AVE, CHULA VISTA, CA 91913-3973
(619) 656-2400
Mailing address
1925 MAGDALENA AVE, CHULA VISTA, CA 91913-3973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
02/06/2021
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