JEANETTE ELLEN LEAL

GLENVILLE, WV
NPI1730726951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA  088931)
Enumeration Date2019-12-06
Last Update Date2024-05-22
Business Address
JEANETTE ELLEN LEAL LAT, ATC
200 HIGH ST
GLENVILLE, WV 26351-1200
Phone number: 304-462-7361
Mailing Address
JEANETTE ELLEN LEAL LAT, ATC
907 WALNUT ST APT A
GLENVILLE, WV 26351-1355
Phone number: