Individual
WHITNEY MARTINA CARRIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
25775 PIZZARO CT, MORENO VALLEY, CA 92557-7744
(951) 323-1593
Mailing address
25775 PIZZARO CT, MORENO VALLEY, CA 92557-7744
(951) 323-1593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000025667
—
CA
Enumeration date
05/27/2020
Last updated
05/27/2020
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