Individual
MISS KIMBERLY DIANE WOOLSTENCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13040 SEILER ST, POWAY, CA 92064-5625
(760) 519-1603
Mailing address
13040 SEILER ST, POWAY, CA 92064-5625
(760) 519-1603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2016
Last updated
01/26/2021
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