Individual
MARCOS JUNIOR VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2418 22ND ST, LUBBOCK, TX 79411-1010
(210) 383-8583
Mailing address
2418 22ND ST, LUBBOCK, TX 79411-1010
(210) 383-8583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
28434328
TX
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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