Individual
KIANA BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(855) 607-7678
Mailing address
33 LITCHFIELD LN, HANSON, MA 02341-1009
(978) 701-3413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3573
MA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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