Individual
BRIANNA KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3021 JEFFERSON RD, ASHTABULA, OH 44004-9615
(440) 228-4815
Mailing address
3021 JEFFERSON RD, ASHTABULA, OH 44004-9615
(440) 228-4815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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