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Individual

MS. ALENA KOAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
21615 BROOKSIDE CT, WALNUT, CA 91789-1413
(909) 569-5947
Mailing address
21615 BROOKSIDE CT, WALNUT, CA 91789-1413

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
BOC366774
CA

Other

Enumeration date
02/16/2024
Last updated
02/16/2024
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