Individual
ALBERTO GUERRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5554 RESEDA BLVD STE 203, TARZANA, CA 91356-6212
(818) 705-5522
Mailing address
7328 ETIWANDA AVE, N/A, RESEDA, CA 91335
(323) 206-1018
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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