ANTHONY BANAAG

SAN DIEGO, CA
NPI1497220792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  080802105)
Enumeration Date2018-10-12
Last Update Date2018-10-12
Business Address
ANTHONY BANAAG
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136-5599
Phone number: 619-556-7931
Mailing Address
ANTHONY BANAAG
10647 CARMEL MOUNTAIN RD
SAN DIEGO, CA 92129-2034
Phone number: 619-316-2593
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