Individual
KAITLIN BOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6000 J ST, SACRAMENTO, CA 95819-2605
(916) 278-6289
Mailing address
1729 G ST, APT. #14, SACRAMENTO, CA 95811-2153
(907) 378-3413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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