Individual
EMMETT LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 ELM ST, MANCHESTER, NH 03101
(603) 668-4111
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/26/2017
Last updated
08/12/2019
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