Individual
CASSANDRA CORIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 CERRILLOS RD, SANTA FE, NM 87505-3521
(505) 989-6000
Mailing address
PO BOX 727, SANTO DOMINGO PUEBLO, NM 87052-0727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT732
NM
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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