Porfirio Garcia Diaz
Specialist/Technologist, Athletic Trainer in Santa Maria, CA. Individual provider (NPI-1).
NPI number1336767334
StatusActive
Last updated in NPPESJul 7, 2020
Details
- NPI
- 1336767334
- Entity type
- Individual (NPI-1)
- Name
- Porfirio Garcia Diaz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2020
- Certification date
- Jul 7, 2020
- Last updated
- Jul 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
930 W Cook St Apt 7Santa Maria, CA 93458-5463
Phone 805-868-4612
Mailing address
930 W Cook St Apt 7Santa Maria, CA 93458-5463
Phone 805-868-4612
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All 13 Athletic Trainer providers in Santa Maria · All 3,777 providers in Santa Maria
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