Individual
MARIA LARNIE BOQUIREN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9037 HUBBARD ST, CULVER CITY, CA 90232-2508
(480) 648-7374
Mailing address
9037 HUBBARD ST, CULVER CITY, CA 90232-2508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AZ
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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