Individual
LISHLEYNNY VANESHKA DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MIDSTATE DR, AUBURN, MA 01501-1857
(774) 243-1179
Mailing address
23 MIDSTATE DR, AUBURN, MA 01501-1857
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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