Individual
LESLIE M HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 VIA REGATTA ST, WEBSTER, TX 77598-4386
(832) 577-7809
Mailing address
413 VIA REGATTA ST, WEBSTER, TX 77598-4386
(832) 577-7809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4492
TX
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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