Individual
MS. RAECHEL NICOLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 GRAND AVE, SAN LUIS OBISPO, CA 93407-9000
(805) 756-5491
Mailing address
1818 9TH ST, LOS OSOS, CA 93402-2714
(909) 896-9923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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