Individual
KIRA DANIELLE GIRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33821 THE FARM RD, WILDOMAR, CA 92595-9456
(909) 994-1612
Mailing address
33821 THE FARM RD, WILDOMAR, CA 92595-9456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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