Individual
RANDY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16007 CRENSHAW BLVD, TORRANCE, CA 90506-0003
(310) 660-3593
Mailing address
5951 RAND ST, BUENA PARK, CA 90621-2133
(909) 367-0126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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