Individual
MR. CHARLES ENGLETON WOOLSEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1222 CORTE DE VELA, CHULA VISTA, CA 91910-6818
(619) 889-8408
Mailing address
1222 CORTE DE VELA, CHULA VISTA, CA 91910-6818
(619) 889-8408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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