Ellen K. Payne MA, ATC, CSCS

NPI 1003833989 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1003833989
Gender Female
Enumeration Date 07/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
302 PORTOLA RD
PORTOLA VALLEY CA, 94028-7851, US
Phone (650) 851-6128
Fax
Business Location
PO BOX 247
CUPERTINO CA, 95015-0247, US
Phone (408) 348-7448
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
Remove 1003833989 NPI Number
 

According to our database, Ellen K. Payne MA, ATC, CSCS NPI is 1003833989, taxonomy code is 2255A2300X Ellen K. Payne MA, ATC, CSCS physically located at 302 Portola Rd, Portola Valley CA, 94028-7851. NPI Number Ellen K. Payne MA, ATC, CSCS has the Individual type.

Sponsored links

1003833989 NPI number is provided on an as is basis without warranty of any kind. 1003833989 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen K. Payne MA, ATC, CSCS are for informational purposes only.