Individual
DASIA ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 S PLEASANT VALLEY RD APT 635, AUSTIN, TX 78741-1892
(915) 996-6477
Mailing address
1109 S PLEASANT VALLEY RD APT 635, AUSTIN, TX 78741-1892
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
40220958
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
40220958
TX
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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