Individual
LIANA RAQUEL GERARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
12500 CAMPUS DR, OAKLAND, CA 94619-3196
(510) 436-2659
Mailing address
12500 CAMPUS DR, OAKLAND, CA 94619-3196
(510) 436-2659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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