Individual
CARLA DEYANIRA VAZQUEZ SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9385 FM 244 RD, ANDERSON, TX 77830-5620
(979) 777-5466
Mailing address
9385 FM 244 RD, ANDERSON, TX 77830-5620
(979) 777-5466
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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