Individual
NATHANIEL MATTHEW LEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 NW 17TH ST, BATTLE GROUND, WA 98604-8015
(360) 702-9939
Mailing address
401 NW 17TH ST, BATTLE GROUND, WA 98604-8015
(360) 702-9939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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