Individual
BRANDI BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ATC
Contact information
Practice address
185 HAAS PAVILION, BERKELEY, CA 94720-0001
(510) 642-3868
Mailing address
185 HAAS PAVILION, BERKELEY, CA 94720-0001
(510) 642-3868
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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