Individual
MS. PRIMROSE HAZEL PISARES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
1156 HIGH ST, SANTA CRUZ, CA 95064-1077
(831) 459-4793
Mailing address
1106 REDWOOD PL, SALINAS, CA 93901-1825
(831) 596-2056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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