Individual
VANESSA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5718 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2880
(786) 203-1002
Mailing address
5718 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2880
(786) 203-1002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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