Individual
PEPHANIE VALENTINA AURELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
19031 GAULT ST APT D213, RESEDA, CA 91335-3917
(407) 492-8490
Mailing address
19031 GAULT ST APT D213, RESEDA, CA 91335-3917
(407) 492-8490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RBT-21-166088
CA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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