Individual
KRISTIN ANNE MANYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-0001
(619) 594-5551
Mailing address
1705 HORNBLEND ST APT A, SAN DIEGO, CA 92109-4441
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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