LEECA NICOLE BARAN
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1972016236- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3050 WINCHESTER RD, MEMPHIS, TN, 381184860
- Phone
- (901) 224-0135
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Specialist/Technologist, Athletic Trainer
Primary License: TN #318191
All Addresses
MAILING
9455 GOODMAN RD APT F6
OLIVE BRANCH, MS, 386541718