Individual
PORFIRIO GARCIA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 W COOK ST APT 7, SANTA MARIA, CA 93458-5463
(805) 868-4612
Mailing address
930 W COOK ST APT 7, SANTA MARIA, CA 93458-5463
(805) 868-4612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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