Individual
KERRY DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
275 SANDY BEACH RD, VALLEJO, CA 94590-8123
(707) 319-4162
Mailing address
222 SE 8TH AVE, HILLSBORO, OR 97123-4218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2019
Last updated
10/25/2022
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