Individual
MS. BRIANNA MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS
Contact information
Practice address
2475 GRAND AVE, SAN DIEGO, CA 92109-4825
(858) 273-1313
Mailing address
11143 ORION AVE, MISSION HILLS, CA 91345-1351
(818) 399-6876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005258
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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