Individual
JULIAN ALLEN FLORESCA PANGILINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 RIVER RD, ATHENS, GA 30602-1501
(706) 542-5060
Mailing address
1000 LAKESIDE DR APT 332, ATHENS, GA 30605-5924
(678) 431-0409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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