Individual
MS. MALINA CANSIBOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
923 W UNIVERSITY AVE APT 152, FLAGSTAFF, AZ 86001-3083
(808) 284-0418
Mailing address
923 W UNIVERSITY AVE APT 152, FLAGSTAFF, AZ 86001-3083
(808) 284-0418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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