Individual
KYLE A YAROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
114 PLYMOUTH WAY, SAN BERNARDINO, CA 92408
(909) 522-1043
Mailing address
114 N PLYMOUTH WAY, SAN BERNARDINO, CA 92408-4116
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000022741
CA
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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