Individual
VICTORIA PLACENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 19TH ST APT 25, LUBBOCK, TX 79410-1548
(602) 910-1893
Mailing address
2619 19TH ST APT 25, LUBBOCK, TX 79410-1548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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