Individual
MR. CAILIN DAYNE CABICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
6329 CAMINITO BASILIO, SAN DIEGO, CA 92111-7208
(808) 384-2458
Mailing address
6329 CAMINITO BASILIO, SAN DIEGO, CA 92111-7208
(808) 384-2458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000052397
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
HI
Other
Enumeration date
09/10/2018
Last updated
01/27/2023
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