DAVID BLAINE LAHERTY

ALLEN, TX
NPI1114520061
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2020-11-20
Last Update Date2020-11-20
Business Address
-- DAVID BLAINE LAHERTY
411 SHADYWOOD DR
ALLEN, TX 75002-1659
Phone number: 385-231-9995
Mailing Address
-- DAVID BLAINE LAHERTY
411 SHADYWOOD DR
ALLEN, TX 75002-1659
Phone number: 385-231-9995