Individual
LAKEESHA BUSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 W ORANGE AVE APT 16, ANAHEIM, CA 92804-3257
(405) 443-6340
Mailing address
2960 W ORANGE AVE APT 16, ANAHEIM, CA 92804-3257
(405) 443-6340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
03/31/2018
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