Individual
KEVIN LEE BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7130 MIRAMAR RD, SAN DIEGO, CA 92121-2353
(951) 294-0777
Mailing address
6377 DEL CERRO CT, SAN DIEGO, CA 92120-4710
(951) 294-0777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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