Individual
KHRYSTIANNE MORITA PADUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1068 CALLE DEL CERRO UNIT 1511, SAN CLEMENTE, CA 92672-6081
(626) 318-9298
Mailing address
1068 CALLE DEL CERRO UNIT 1511, SAN CLEMENTE, CA 92672-6081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2018
Last updated
05/23/2019
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