Individual
KALINA BRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR, MOSCOW, ID 83844-9803
(208) 855-6111
Mailing address
14309 137TH AVE E, PUYALLUP, WA 98374-9422
(253) 341-9785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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