Individual
MRS. ROXANNE SEPEDA FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT ATC LAT
Contact information
Practice address
6207 17TH ST, LUBBOCK, TX 79416-6134
(806) 543-4054
Mailing address
6207 17TH ST, LUBBOCK, TX 79416-6134
(806) 543-4054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3705
TX
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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