Individual
KELLY CHRISTINE ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
641 CAMPUS DR, STANFORD, CA 94305-6201
(650) 723-4591
Mailing address
1052 BELDER DR, SAN JOSE, CA 95120-3301
(408) 623-2890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018141
CA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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