Individual
QUEENIE SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-1339
Mailing address
8510 LEMON AVE, LA MESA, CA 91941-5312
(505) 331-3025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080402365
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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