Individual
MISS KAYCEE MONTANA WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3867 CRATER CT, NAPA, CA 94558-2201
(707) 227-6620
Mailing address
3867 CRATER CT, NAPA, CA 94558-2201
(707) 227-6620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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