Individual
MR. KRISTOPHER PICARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
711 WAILEPO PL, APT 103, KAILUA, HI 96734-2609
(903) 475-3022
Mailing address
711 WAILEPO PL, APT 103, KAILUA, HI 96734-2609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT261
HI
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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