Individual
ANNA LAURA BARRAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
637 BROADWAY ST, KING CITY, CA 93930-3231
(831) 525-8181
Mailing address
830 PRADO DR, SOLEDAD, CA 93960-3309
(831) 578-2155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B5876011
DRIVERS LICENSE
CA
05
—
B5876011
—
CA
Enumeration date
11/22/2019
Last updated
11/22/2019
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