Individual
CYNTHIA CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22597 BARTON RD STE B, GRAND TERRACE, CA 92313-5267
(909) 264-3299
Mailing address
23007 VISTA GRANDE WAY, GRAND TERRACE, CA 92313-4964
(702) 279-7787
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
Primary
F5132899
CA
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F5132899
DRIVERS LICENSE
CA
Enumeration date
03/09/2021
Last updated
03/09/2021
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