Individual
DAISY MORENA VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 INNER CAMPUS DR, AUSTIN, TX 78712-1139
(512) 471-3434
Mailing address
203 E 31ST ST APT 304, AUSTIN, TX 78705-3071
(713) 280-6646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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