Individual
MISS NOELLE CAROLINE DARQUEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3884 BASILONE ST UNIT 4, SAN DIEGO, CA 92110-5417
(619) 376-8908
Mailing address
3884 BASILONE ST UNIT 4, SAN DIEGO, CA 92110-5417
(619) 376-8908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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