Individual
KIANA MARIE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1611 EBONY DR., OXNARD, CA 93030
(805) 814-6206
Mailing address
1611 EBONY DR, OXNARD, CA 93030-8637
(805) 814-6206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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