Individual
CIERRA CHANEL BOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 HIGH SCHOOL HILL RD, ATASCADERO, CA 93422-4189
(805) 550-7444
Mailing address
7820 SAN MARCOS RD, ATASCADERO, CA 93422-4060
(702) 747-1807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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