Individual
MARIA ISABEL ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E LUCY BRETRAN ST, GUSTINE, TX 76455
(325) 330-2708
Mailing address
PO BOX 146, GUSTINE, TX 76455-0146
(325) 330-2708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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