Individual
KEALANI JOIE TANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(209) 946-2982
Mailing address
2107 BODEGA CT, PITTSBURG, CA 94565-4613
(510) 375-8239
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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