Individual
ELLEN FAUSTINE-BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5746 W 75TH ST, LOS ANGELES, CA 90045-1716
(310) 383-1460
Mailing address
5746 W 75TH ST, LOS ANGELES, CA 90045-1716
(310) 383-1460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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