Individual
BRANDON LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5181 WILDCAT ST, SAINT JAMES, LA 70086-7253
(225) 258-4900
Mailing address
5181 WILDCAT ST, SAINT JAMES, LA 70086-7253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200424
LA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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