Individual
MONICA LISETTE ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6035 GIANT RD, RICHMOND, CA 94806-2388
(209) 675-1864
Mailing address
1771 BROADWAY ST APT 325, CONCORD, CA 94520-2646
(209) 675-1864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000036793
CA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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