SANTIAGO A SEGURA BARRON

POCATELLO, ID
NPI1174149389
Former NameTHANIA D SEGURA BARRON
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT-751)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
SANTIAGO A SEGURA BARRON MEd, LAT, ATC
HOLT ARENA 550 MEMORIAL DRIVE BUILDING 50
POCATELLO, ID 83209-0001
Phone number: 208-282-3408
Mailing Address
SANTIAGO A SEGURA BARRON MEd, LAT, ATC
641 W BONNEVILLE ST
POCATELLO, ID 83204-3338
Phone number: 641-295-2760