Individual
LEAH RENEE KOMISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4269 TYNDALL AVE BLDG 282, NELLIS AFB, NV 89191-6074
(810) 358-3817
Mailing address
4269 TYNDALL AVE BLDG 282, NELLIS AFB, NV 89191-6074
(810) 358-3817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1457
NH
2255A2300X
Athletic Trainer
AT-352
HI
2255A2300X
Athletic Trainer
Primary
AT0506770
NV
Other
Enumeration date
06/09/2020
Last updated
09/16/2024
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