Individual
TIANA H KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, ATC, CSCS
Contact information
Practice address
651 E BURLWOOD LN, LEMOORE, CA 93245-2413
(559) 707-8862
Mailing address
651 E BURLWOOD LN, LEMOORE, CA 93245-2413
(559) 707-8862
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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