Individual
KAITLIN SUE OSHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16401 SAN PABLO AVE. SPC 153, SAN PABLO, CA 94806
(510) 965-3729
Mailing address
16401 SAN PABLO AVE. SPC 153, SAN PABLO, CA 94806
(510) 965-3729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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