Individual
CHAZ KEKIPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S HIGHLAND AVE APT 141, FULLERTON, CA 92832-2993
(714) 401-6969
Mailing address
1200 S HIGHLAND AVE APT 141, FULLERTON, CA 92832-2993
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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