Individual
KIRA KRISTINE AU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
14301 FAIRGROVE AVE, LA PUENTE, CA 91746
(626) 962-2495
(626) 480-7441
Mailing address
241 S. AZUSA AVE., WEST COVINA, CA 91791-1942
(951) 218-3030
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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