Individual
NICOLAS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S 6TH AVE, YUMA, AZ 85364-2143
(928) 502-5000
Mailing address
400 S 6TH AVE, YUMA, AZ 85364-2143
(928) 502-5000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1268
AZ
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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