Individual
BRIANNA PAIGE CORALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4453 CARLING DR, SAN DIEGO, CA 92115-5527
(310) 567-1896
Mailing address
4453 CARLING DR, SAN DIEGO, CA 92115-5527
(310) 567-1896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/30/2020
Last updated
08/30/2020
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