JOSHUA ALLAN MODICA

SAN ANTONIO, TX
NPI1477076248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT5670)
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
JOSHUA ALLAN MODICA ATC, LAT
ONE UTSA CIRCLE
SAN ANTONIO, TX 78249-1644
Phone number: 417-379-5908
Mailing Address
JOSHUA ALLAN MODICA ATC, LAT
20319 LIATRIS LN
SAN ANTONIO, TX 78259-2250
Phone number:
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