Individual
DIANA LYNN MARSEILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055-3168
(770) 713-0545
Mailing address
11541 WINDCREST LN APT 178, SAN DIEGO, CA 92128-4240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4637
NC
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2018
Last updated
09/06/2022
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