Individual
KATHRYN SHUSTEK WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7323 UNIVERSITY AVE, LA MESA, CA 91942-0555
(619) 370-7885
Mailing address
7323 UNIVERSITY AVE, LA MESA, CA 91942-0555
(619) 370-7885
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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