Individual
KRISTINA MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAT(C)
Contact information
Practice address
4220 PARK NEWPORT APT 203, NEWPORT BEACH, CA 92660-6031
(949) 514-5752
Mailing address
4220 PARK NEWPORT APT 203, NEWPORT BEACH, CA 92660-6031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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