Individual
JAVIER CESAR LEAL-CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12229 JOBEL LN, BROADWAY, VA 22815-3100
(540) 746-5035
Mailing address
12229 JOBEL LN, BROADWAY, VA 22815-3100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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