Individual
NOAH LAMADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1405 PARK BLVD, SAN DIEGO, CA 92101-4722
(808) 651-3865
Mailing address
3675 BARNARD DR APT 259, OCEANSIDE, CA 92056-4019
(808) 651-3865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000035422
—
2255A2300X
Athletic Trainer
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
04/26/2017
Last updated
04/13/2021
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