Individual
RACHELLE CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC, SFMA, CES
Contact information
Practice address
901 E ALOSTA AVE, AZUSA, CA 91702-2701
(626) 815-6000
Mailing address
901 E ALOSTA AVE, AZUSA, CA 91702-2701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028053
CA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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