Individual
DE ARA ANNISE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-2492
(260) 230-8260
Mailing address
1708 CAL ORCHID PL UNIT 2, CHULA VISTA, CA 91913-3226
(619) 987-8584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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