Individual
MISS LIANA GROEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
400 RANCHO DEL ORO DR, OCEANSIDE, CA 92057-8316
(760) 901-8000
(760) 721-7065
Mailing address
400 RANCHO DEL ORO DR, OCEANSIDE, CA 92057-8316
(760) 901-8000
(760) 721-7065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000002264
NATA BOC
—
Enumeration date
04/21/2015
Last updated
04/21/2015
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