Individual
ALEXANDRIA ALICIA LACAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1100 N GRAND AVE, WALNUT, CA 91789-1341
(925) 628-7628
Mailing address
755 E DATE ST APT A11, BREA, CA 92821-6661
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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