Jose Mariscal
Jose Mariscal is an Athletic Trainer in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2020.
- Licensed in
- CO
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1817 Yakima LnPueblo, CO 81001-1513
Phone: (719) 850-0550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CO) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (CO) |
Record details
| NPI number | 1376142703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 16, 2020 |
| Last updated in NPPES | October 16, 2020 |
| Certification date | October 16, 2020 |
| Mailing address | 1817 Yakima Ln, Pueblo, CO 81001-1513 |
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