Individual
MARIAH WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PIRATES COVE WAY, OCEANSIDE, CA 92054-3066
(760) 901-8200
Mailing address
1 PIRATES COVE WAY, OCEANSIDE, CA 92054-3066
(916) 223-7562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000058191
CA
Other
Enumeration date
03/08/2024
Last updated
06/26/2025
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