Individual
BRONSON SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13434 LITTLE DAWN LN, POWAY, CA 92064-4072
(858) 442-8650
Mailing address
13434 LITTLE DAWN LN, POWAY, CA 92064-4072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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