STACIE LYN LONQUIST

REDDING, CA
NPI1689172405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence:   029702647)
Enumeration Date2018-01-26
Last Update Date2018-01-26
Business Address
STACIE LYN LONQUIST ATC
1255 LIBERTY ST
REDDING, CA 96001-0814
Phone number: 530-246-2467
Mailing Address
STACIE LYN LONQUIST ATC
1255 LIBERTY ST
REDDING, CA 96001-0814
Phone number: 530-246-2467
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