Individual
MIGUEL PIEDRA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4250 E TULARE ST, FRESNO, CA 93702-3037
(559) 741-3765
Mailing address
6923 E ATCHISON ST, FRESNO, CA 93727-1177
(559) 741-3765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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