Individual
RONALD LEE ENNIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 HENLEY RD, RICHMOND, IN 47374-5946
(765) 960-6726
Mailing address
307 HENLEY RD, RICHMOND, IN 47374-5946
(765) 960-6726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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