Individual
BRIANNA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 CORTE DE CALABAZA NW, ALBUQUERQUE, NM 87104-2382
(702) 219-8715
Mailing address
6528 COPPER SMITH CT, N LAS VEGAS, NV 89084-2216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2016
Last updated
03/07/2019
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