Individual
CARLOS AGUSTIN MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 E 3510 S, SAINT GEORGE, UT 84790-6311
(435) 705-3098
Mailing address
616 E 3510 S, SAINT GEORGE, UT 84790-6311
(435) 705-3098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2022
Last updated
05/07/2025
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