Dante Avila

NPI #1780125773 in Sturgis, Michigan

Provider Information

NPI Number: 1780125773
Entity Type: Individual
Name: Dante Avila
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 10, 2017
Last Updated: Mar 10, 2017

Practice Location

Address: 1109 TRACY DR
City: Sturgis
State: Michigan
ZIP Code: 49091-9110
Phone: (269) 689-5359

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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