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Clinton Bocanegra, LAT, ATC

NPI 1578275954 · on the registry since 2022 · sole proprietor

Practice

Address
737 Logan Ave N
Renton, WA 98057
Phone
(425) 478-1774
Clinicians at this address
6

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington