Santana Cruz Reyes I

NPI #1043719545 in Mcminnville, Oregon

Provider Information

NPI Number: 1043719545
Entity Type: Individual
Name: Santana Cruz Reyes I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 9, 2018
Last Updated: Feb 9, 2018

Practice Location

Address: 190 SW BRUMBACK ST
City: Mcminnville
State: Oregon
ZIP Code: 97128-6899
Phone: (503) 883-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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