Individual
BRENDON TAGUINOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
430 UNION HEIGHTS, HOLLISTER, CA 95023
(831) 359-6559
Mailing address
430 UNION HTS, HOLLISTER, CA 95023-8925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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