Individual
RACHAEL ROSE ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2810
(619) 849-2200
Mailing address
13208 MIDNIGHT STAR WAY, LAKESIDE, CA 92040-2879
(619) 922-1586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10334778Q07
SHARP
CA
Enumeration date
11/10/2017
Last updated
11/10/2017
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