Individual
AUSTIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COYOTE CT, TRABUCO CANYON, CA 92679-5341
(949) 463-8901
Mailing address
1 COYOTE CT, TRABUCO CANYON, CA 92679-5341
(949) 463-8901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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