Individual
MIKAYLA RENAY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1261 W LOCUST ST, ONTARIO, CA 91762-5356
(909) 927-9185
Mailing address
1261 W LOCUST ST, ONTARIO, CA 91762-5356
(909) 927-9185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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