NPI | 1740697135 |
---|---|
Professional Name | RONNIE J LEIDNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5049) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |