CARLOS MIGUEL VEGUILLA DIAZ

BETHLEHEM, PA
NPI1962090670
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA  RT007298)
Enumeration Date2021-01-07
Last Update Date2021-01-07
Business Address
CARLOS MIGUEL VEGUILLA DIAZ LAT, ATC
1314 MAIN ST
BETHLEHEM, PA 18018-2314
Phone number: 787-438-2841
Mailing Address
CARLOS MIGUEL VEGUILLA DIAZ LAT, ATC
1314 MAIN ST
BETHLEHEM, PA 18018-2314
Phone number: 787-438-2841
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