Individual
ALIX ANDREA GIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7782 E PORTOFINO AVE, ANAHEIM, CA 92808-1551
(208) 608-6663
Mailing address
7782 E PORTOFINO AVE, ANAHEIM, CA 92808-1551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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