Individual
KAYLA GRADILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
26351 JUNIPERO SERRA RD, SAN JUAN CAPISTRANO, CA 92675-1635
(949) 493-9307
(949) 276-2801
Mailing address
131 PEARL, LAGUNA NIGUEL, CA 92677-4820
(760) 963-8673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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