Individual
NEEMA KIANFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4851 SAN JUAN AVE, FAIR OAKS, CA 95628-4721
(916) 501-9508
Mailing address
4851 SAN JUAN AVE, FAIR OAKS, CA 95628-4721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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