Individual
GIAVANNA HASELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
LKD SPORTS MEDICINE CENTER 500 W UNIVERSITY AVENUE, EL PASO, TX 79968-0001
(915) 747-6801
Mailing address
10442 BIRCH TREE LN, WINDERMERE, FL 34786-8013
(321) 297-1006
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7311
TX
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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