Individual
MRS. CALISTA TAYLOR ENOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
526 5TH ST, CHENEY, WA 99004-1619
(509) 359-6200
Mailing address
620 W 7TH ST APT 3F, CHENEY, WA 99004-2471
(360) 789-6786
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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