Camille Wissman, ATC
Specialist/Technologist, Athletic Trainer in San Diego, CA. Individual provider (NPI-1).
NPI number1982117313
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1982117313
- Entity type
- Individual (NPI-1)
- Name
- Camille Wissman
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2017
- Last updated
- Nov 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000022564 | CA | Yes |
Practice location
5951 E Village Center Loop RdSan Diego, CA 92130-2499
Phone 858-350-0253
Mailing address
4568 Georgia StSan Diego, CA 92116-5607
Phone 805-452-1751
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