Individual
KELVIN CHIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504
(626) 632-4504
Mailing address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
09/03/2021
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