Individual
CAITLIN KAMIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 STATE ST, SPRINGFIELD, MA 01109-3151
(203) 592-6353
Mailing address
390 BOSTON NECK RD, APT. 2D, SUFFIELD, CT 06078-2385
(203) 592-6353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2616
MA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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