Individual
GINA J INIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 LAKEWOOD BLVD, LAKEWOOD, CA 90712-1726
(562) 387-4172
Mailing address
5640 LAKEWOOD BLVD, LAKEWOOD, CA 90712-1726
(562) 387-4172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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