Individual
DIANA RENEE PUTIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8930 VILLAGE AVE, SUN VALLEY, CA 91352-2129
(818) 767-8382
Mailing address
8930 VILLAGE AVE, SUN VALLEY, CA 91352-2129
(818) 767-8382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
070402610
CA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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