Individual
KATIE BUHNERKEMPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
(951) 689-5771
Mailing address
11461 MAGNOLIA AVE APT 261, RIVERSIDE, CA 92505-6812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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