Individual
DANIELLE BORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 OLYMPIC PKWY, CHULA VISTA, CA 91915-6002
(619) 656-1500
Mailing address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2899
(619) 849-2200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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