TRAVIS PAUL PASILLAS

GLENDALE, AZ
NPI1922519875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  1655)
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
TRAVIS PAUL PASILLAS
6000 W OLIVE AVE
GLENDALE, AZ 85302-3006
Phone number: 951-317-1008
Mailing Address
TRAVIS PAUL PASILLAS
2811 W DEER VALLEY RD APT 2076
PHOENIX, AZ 85027-2391
Phone number: