Individual
RICHARD JOSHUWA LAZALDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
22723 BAY AVE APT 118, MORENO VALLEY, CA 92553-8637
(951) 536-5894
Mailing address
22723 BAY AVE APT 118, MORENO VALLEY, CA 92553-8637
(951) 536-5894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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