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Individual

BRIANA DIANE SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, ATC

Contact information

Practice address
2237 S JACKSON ST, SAN ANGELO, TX 76904-5131
(324) 481-2292
Mailing address
2102 CARLTON WAY, SAN ANGELO, TX 76901-4202
(325) 213-4182

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000052684
TX

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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