TEAGAN IONA PUCKETT

FRESNO, CA
NPI1053800789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-05-08
Last Update Date2018-05-08
Business Address
TEAGAN IONA PUCKETT
5241 N MAPLE AVE
FRESNO, CA 93740-0001
Phone number: 559-278-2016
Mailing Address
TEAGAN IONA PUCKETT
PO BOX 132
SNELLING, CA 95369-0132
Phone number: 209-777-7847