Individual
LORENZO AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1836 LAPHAM DR, MODESTO, CA 95354-3900
(209) 529-0150
Mailing address
4149 BACINADA CT, FREMONT, CA 94536-4601
(510) 579-9378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000039567
CA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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