Individual
CARMEN N CHARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
930 TICONDEROGA DRIVE, SUNNYVALE, CA 94087
(360) 671-5952
Mailing address
930 TICONDEROGA DRIVE, SUNNYVALE, CA 94087
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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