Individual
ISRAEL ASPERICUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 E CACTUS RD, PHOENIX, AZ 85032-7042
(602) 489-5300
(602) 489-5300
Mailing address
3514 W VOLTAIRE AVE, PHOENIX, AZ 85029-2117
(602) 885-2648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0966
AZ
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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