Individual
RAELENE JOYCE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
211 ATLANTA AVE, APT C, HUNTINGTON BEACH, CA 92648-5308
(949) 355-5629
Mailing address
211 ATLANTA AVE, APT C, HUNTINGTON BEACH, CA 92648-5308
(949) 355-5629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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