Individual
VICTORIA MICHELLE VIDALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S LELAND AVE, WEST COVINA, CA 91790-2434
(626) 552-2293
Mailing address
1425 S LELAND AVE, WEST COVINA, CA 91790-2434
(626) 552-2293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/06/2020
Last updated
09/11/2025
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