Individual
ANGELINA JILIS HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9055 BALBOA AVE, SAN DIEGO, CA 92123-1509
(619) 329-6799
Mailing address
226 GLEN VISTA ST, SAN DIEGO, CA 92114-7717
(619) 647-4020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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