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Individual

KATARINA ROSE AZZIMONTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
1000 EL CAMINO REAL, ATHERTON, CA 94027-4300
(650) 543-3753
Mailing address
6016 BROCKENHURST DR, ELK GROVE, CA 95758-6232

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
CA
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/04/2025
Last updated
06/15/2026
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