Individual
MR. DEVIN RICHARD TACLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
ACKER GYM 149, CHICO, CA 95929-0300
(530) 898-5873
Mailing address
ACKER GYM 149, CHICO, CA 95929-0300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
030502032
CA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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