Individual
RAIDON QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
16755 W LAKE HOUSTON PKWY APT 12113, HOUSTON, TX 77044-6374
(559) 347-8807
Mailing address
16755 W LAKE HOUSTON PKWY APT 12113, HOUSTON, TX 77044-6374
(559) 347-8807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2022
Last updated
06/25/2024
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