FERNANDO SANTANA

POCATELLO, ID
NPI1124733175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-01-13
Last Update Date2023-01-13
Business Address
FERNANDO SANTANA
120 N 16TH AVE
POCATELLO, ID 83201-4015
Phone number: 208-650-9917
Mailing Address
FERNANDO SANTANA
120 N 16TH AVE
POCATELLO, ID 83201-4015
Phone number: 208-650-9917
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