Individual
JASMIN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CLAYTON STATE BLVD, MORROW, GA 30260-1250
(678) 466-4685
Mailing address
23 POPLAR CIR, LISBON, ME 04250-6037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2021
Last updated
07/05/2021
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