Individual
DORIAN MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14616 RICHVALE DR, LA MIRADA, CA 90638-1030
(323) 314-1291
Mailing address
14616 RICHVALE DR, LA MIRADA, CA 90638-1030
(323) 314-1291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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