Individual
DANIEL BURCIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
9915 N MAGNOLIA AVE, SANTEE, CA 92071
(619) 956-0200
Mailing address
2501 RIDGE VIEW DR, SAN DIEGO, CA 92105
(619) 788-6507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018651
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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