Individual
MR. AIKANE L BELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSED, ATC, CEAS
Contact information
Practice address
3889 FREDONIA DR, LOS ANGELES, CA 90068-1211
(312) 550-6025
Mailing address
3889 FREDONIA DR, LOS ANGELES, CA 90068-1211
(312) 550-6025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
968
TN
Other
Enumeration date
04/03/2006
Last updated
01/27/2015
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