Individual
SAMMANTHA BROCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
(916) 390-7638
Mailing address
2130 FULTON ST, SAN FRANCISCO, CA 94117-1080
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000016054
CA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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