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ISIS BARRAGAN GOMEZ ATC, LAT

Individual Provider (NPI-1) Active

Specialist/Technologist, Athletic Trainer

Provider Information

NPI Number
1932835279
Provider Type
Individual Provider (NPI-1)
Credentials
ATC, LAT
Status
Active

Contact & Location

Address
875 PERIMETER DR # MS -2302, MOSCOW, ID, 838442476
Phone
(720) 285-6375
Fax
(208) 885-0254

Specialties & Taxonomies

Specialist/Technologist, Athletic Trainer Primary License: ID #7961767

All Addresses

LOCATION

875 PERIMETER DR # MS -2302

MOSCOW, ID, 838442476

(720) 285-6375

MAILING

1915 NE TERRE VIEW DR APT 68D

PULLMAN, WA, 991635718