Individual
GINA BIVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1500 OWENS ST, STE. 170, SAN FRANCISCO, CA 94158-2334
(415) 514-6239
Mailing address
1500 OWENS ST, STE. 170, SAN FRANCISCO, CA 94158-2334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
04/24/2014
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