Individual
MR. RICHARD RAKVIN KIENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5753 E WARDLOW RD, LONG BEACH, CA 90808-3852
(562) 607-9586
Mailing address
5753 E WARDLOW RD, LONG BEACH, CA 90808-3852
(562) 607-9586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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