Individual
ALEXIA RAE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 NEWBERRY ST, GRAND PRAIRIE, TX 75052-3420
(214) 797-3600
Mailing address
522 NEWBERRY ST, GRAND PRAIRIE, TX 75052-3420
(214) 797-3600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
37210590
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
37210590
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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