Individual
KEITH A CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
13847 EARLHAM DR, WHITTIER, CA 90602-6669
(562) 907-4965
(562) 945-8024
Mailing address
9253 MYRON ST, PICO RIVERA, CA 90660-5246
(562) 544-1202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000007169
CA
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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