Individual
RANDY CANCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 UNIVERSITY AVE, RIVERSIDE, CA 92521-0001
(951) 827-1012
Mailing address
111 W HARRISON ST UNIT 334, CORONA, CA 92878-3407
(714) 788-3867
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000054404
CA
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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