Individual
VANESSA GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
Mailing address
2922 PLAYER LN, TUSTIN, CA 92782-1530
(716) 467-5385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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