Individual
LUIS ALFONSO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
7834 GRANDSTAFF DR, SACRAMENTO, CA 95823-4806
(916) 752-3285
Mailing address
7834 GRANDSTAFF DR, SACRAMENTO, CA 95823-4806
(916) 752-3285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
02/06/2017
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