NPI | 1841513124 |
---|---|
Former Name | VERONICA JO SERNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: AZ 079102615) |
Enumeration Date | 2010-03-01 |
Last Update Date | 2010-03-01 |