JAIRO ANGEL DIAZ

BONNER SPRINGS, KS
NPI1396382909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL5482)
Enumeration Date2019-12-02
Last Update Date2019-12-02
Business Address
JAIRO ANGEL DIAZ
13530 PIONEER ST
BONNER SPRINGS, KS 66012-9203
Phone number: 913-626-4253
Mailing Address
JAIRO ANGEL DIAZ
13530 PIONEER ST
BONNER SPRINGS, KS 66012-9203
Phone number: 913-626-4253