Individual
KIANI REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 ALONZO AVE, ENCINO, CA 91316-3611
(818) 654-1314
(818) 705-0209
Mailing address
5031 ALONZO AVE, ENCINO, CA 91316-3611
(818) 654-1314
(818) 705-0209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200025972
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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