Individual
LEIF NESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
288 MARTIN ST, BLAINE, WA 98230-4045
(360) 788-4228
Mailing address
1406 E REPUBLICAN ST APT 308, SEATTLE, WA 98112-4788
(312) 933-3400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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