Individual
MS. LISA D KUNZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1401 S GRAND AVE, SANTA ANA, CA 92705-4408
(714) 796-7476
Mailing address
9911 FOXRUN RD, SANTA ANA, CA 92705-6103
(714) 289-0505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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