Individual
HOUSTON PEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(562) 889-6896
Mailing address
6158 DUNROBIN AVE, LAKEWOOD, CA 90713-1036
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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