Individual
ALBERTO HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
11 ENFILADE AVE, FOOTHILL RANCH, CA 92610
(530) 908-4624
Mailing address
11 ENFILADE AVE, FOOTHILL RANCH, CA 92610-2322
(530) 908-4624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000028976
CA
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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