Individual
PAULINA PIECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1270 S 7TH ST., SAN JOSE, CA 95112-5909
(773) 964-2625
Mailing address
5027 S VENTURA CT, AURORA, CO 80015-2051
(773) 964-2625
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Q190029
CO
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q190029
EMT
CO
Enumeration date
01/28/2021
Last updated
01/28/2021
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