Individual
MS. LEAH KATHLEEN-JORDAN DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6712 SOMERSWORTH DR, CITRUS HEIGHTS, CA 95621-4124
(916) 992-4853
Mailing address
6712 SOMERSWORTH DR, CITRUS HEIGHTS, CA 95621-4124
(916) 992-4853
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000023970
CA
Other
Enumeration date
05/02/2017
Last updated
07/12/2023
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