Individual
JOSHUA ELEAZAR SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 SCORPION DR, LELAND, NC 28451-9101
(910) 371-2261
Mailing address
250 ASHEVILLE RD, KENLY, NC 27542-8820
(910) 489-2355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
01/22/2020
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