Individual
BAILEY LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10712 IRONWOOD CT, WOODBURY, MN 55129-5811
(952) 836-7977
Mailing address
10712 IRONWOOD CT, WOODBURY, MN 55129-5811
(952) 836-7977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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