Individual
MRS. HALEY KIRSTEN LANTIEGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
500 SUPERIOR AVE STE 200, NEWPORT BEACH, CA 92663-3659
(949) 763-7133
Mailing address
1955 YUCCA DR, CORONA, CA 92882-5617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000007879
CA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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