MRS. Robin Staci Gaffke Villavicencio, BA, ATC
NPI #1023239209 in San Mateo, California
Provider Information
- NPI Number
- 1023239209
- Entity Type
- Individual
- Name
- MRS. Robin Staci Gaffke Villavicencio, BA, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- BA, ATC
- Enumeration Date
- May 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1533 2ND AVENUE
- City
- San Mateo
- State
- California
- ZIP Code
- 94401
- Phone
- (650) 348-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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