Individual
AMANDA KASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28443 YOSEMITE DR, TRABUCO CANYON, CA 92679-1162
(949) 683-4566
Mailing address
28443 YOSEMITE DR, TRABUCO CANYON, CA 92679-1162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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