Individual
JENNIFER ANN CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
286 SEA VALE ST, CHULA VISTA, CA 91910-1840
(619) 862-3618
Mailing address
286 SEA VALE ST, CHULA VISTA, CA 91910-1840
(619) 862-3618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
11/10/2017
Last updated
11/19/2020
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