Individual provider · NPI-1
Gina Biviano, MA, ATC
Specialist/Technologist, Athletic Trainer · San Francisco, CA
NPI number1023430634
StatusActive
Last updated in NPPESApr 24, 2014
Details
- NPI
- 1023430634
- Entity type
- Individual (NPI-1)
- Name
- Gina Biviano
- Credential
- MA, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 16, 2014
- Last updated
- Apr 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1500 Owens StSte. 170
San Francisco, CA 94158-2334
Phone 415-514-6239
Mailing address
1500 Owens StSte. 170
San Francisco, CA 94158-2334
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