CALISTA MARIE FASANO

HUNTSVILLE, TX
NPI1750003851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT9143)
Enumeration Date2022-09-15
Last Update Date2022-09-15
Business Address
CALISTA MARIE FASANO LAT, ATC
620 BOWERS BLVD
HUNTSVILLE, TX 77341-0001
Phone number: 936-294-3532
Mailing Address
CALISTA MARIE FASANO LAT, ATC
2402 SYCAMORE AVE APT D7
HUNTSVILLE, TX 77340-6145
Phone number: 425-890-3945
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