Individual
MR. BRIAN MYCHAL ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
21817 FIGUEROA ST, UNIT 12, CARSON, CA 90745-1919
(310) 735-5238
Mailing address
21817 FIGUEROA ST, UNIT 12, CARSON, CA 90745-1919
(310) 735-5238
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000009460
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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