Individual
KATHLEEN BRIDGET CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16500 MOJAVE DR, VICTORVILLE, CA 92395-3822
(760) 922-3300
Mailing address
13212 POCONO RD, APPLE VALLEY, CA 92308-6315
(909) 214-2016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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