| NPI | 1821373580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEE ZAMBRANO Head Athletic Trainer 800-538-9784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |