Individual
HALEIGH LEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 451-7529
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2919
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000023617
BOARD OF CERTIFICATION ATHLETIC TRAINING
—
01
—
LAT-2919
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
NC
Enumeration date
06/02/2020
Last updated
06/02/2020
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