Individual
DIANE BAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
29000 HESPERIAN BLVD, HAYWARD, CA 94545-5014
(510) 541-0026
Mailing address
1460 LEVER BLVD, STOCKTON, CA 95206-2800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
01/22/2021
Last updated
03/06/2023
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