Individual
JUAN JESUS ANGUIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1015 E 32ND ST STE 101, AUSTIN, TX 78705-2700
(512) 826-1966
Mailing address
3715 S 1ST ST APT 440, AUSTIN, TX 78704-0108
(512) 826-1966
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7043
TX
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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