Individual
KAITLIN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
207 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-2808
(760) 480-9845
Mailing address
207 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-2808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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