Individual
LEECA NICOLE BARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 WINCHESTER RD, MEMPHIS, TN 38118-4860
(901) 224-0135
Mailing address
9455 GOODMAN RD APT F6, OLIVE BRANCH, MS 38654-1718
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
318191
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2017
Last updated
10/31/2022
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