JAVIERA PAZ GONZALEZ SOTO

LAKE CHARLES, LA
NPI1922564251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  320912)
Enumeration Date2019-02-12
Last Update Date2021-08-20
Business Address
JAVIERA PAZ GONZALEZ SOTO ME.d, LAT, ATC
4205 RYAN ST
LAKE CHARLES, LA 70605-4511
Phone number: 865-279-6536
Mailing Address
JAVIERA PAZ GONZALEZ SOTO ME.d, LAT, ATC
4605 NELSON RD APT. 1423
LAKE CHARLES, LA 70605
Phone number: 865-279-6536