Individual
MR. CORY RONALD CHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PERSONAL TRAINER
Contact information
Practice address
311 PUFFIN WAY, TEMPLETON, CA 93465-9780
(805) 769-6776
Mailing address
311 PUFFIN WAY, TEMPLETON, CA 93465-9780
(805) 769-6776
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T166587
CA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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