Individual
KAITLYN KARIN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 E FORDHAM RD, BRONX, NY 10458-5149
(805) 404-4209
Mailing address
918 EL MONTE DR, SIMI VALLEY, CA 93065-4222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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