Individual
BRYANNA BOCANEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 N BROADWAY, ESCONDIDO, CA 92026-2016
(760) 402-7974
Mailing address
1516 N BROADWAY, ESCONDIDO, CA 92026-2016
(760) 402-7974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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