Individual
MEGAN COLLEEN LEAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4356 W POINT LOMA BLVD APT N, SAN DIEGO, CA 92107-1172
(757) 903-1836
Mailing address
4356 W POINT LOMA BLVD APT N, SAN DIEGO, CA 92107-1172
(757) 903-1836
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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