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Cassandra Coriz

Specialist/Technologist, Athletic Trainer in Santa Fe, NM. Individual provider (NPI-1).

NPI number1396393096
StatusActive
Last updated in NPPESAug 27, 2019

Details

NPI
1396393096
Entity type
Individual (NPI-1)
Name
Cassandra Coriz
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2019
Last updated
Aug 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT732NMYes

Practice location

1501 Cerrillos Rd
Santa Fe, NM 87505-3521

Phone 505-989-6000

Mailing address

Po Box 727
Santo Domingo Pueblo, NM 87052-0727

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