Individual
ASHLY MARIANA DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
1300 E WASHINGTON CENTER RD, FORT WAYNE, IN 46825-4556
(574) 301-9570
Mailing address
1823 GRISWOLD DR APT B23, FORT WAYNE, IN 46805-4170
(574) 301-9570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
07/09/2024
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