Individual
RICARDO FRANCISCO VIDAL-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2909 S 91ST ST, WEST ALLIS, WI 53227-3654
(414) 507-5132
Mailing address
2909 S 91ST ST, WEST ALLIS, WI 53227-3654
(414) 507-5132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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