Individual
VICTORIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CSCS, PN1
Contact information
Practice address
1367 AVOCADO AVE, NEWPORT BEACH, CA 92660-7801
(949) 752-7625
Mailing address
1367 AVOCADO AVE, NEWPORT BEACH, CA 92660-7801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000023139
CA
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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