Individual
MS. ALICIA MARIE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-2476
(619) 260-8895
(619) 260-4742
Mailing address
3868 KENDALL ST, SAN DIEGO, CA 92109-6504
(619) 417-1563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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