Individual
MR. COLBY CLARIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6951 S CENTINELA AVE, PLAYA VISTA, CA 90094-2532
(702) 596-3116
Mailing address
639 N BROADWAY APT 524, LOS ANGELES, CA 90012-4522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506268
NV
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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