Individual
LESLIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LEHMAN RD, KYLE, TX 78640-5246
(626) 833-7568
Mailing address
601 UNIVERSITY DR, SAN MARCOS, TX 78666-4684
(626) 833-7568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5973
TX
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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