NPI | 1679015762 |
---|---|
Former Name | CHRISTIAN GIAMANCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA 2000002012) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2016-11-07 |