Latisha Rae Leonard -bernier PA-C

NPI 1780649210 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1780649210
Gender Female
Enumeration Date 04/18/2006
Last Updated 02/05/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1919 E THOMAS RD
EAST BUILDING
PHOENIX AZ, 85016-7710, US
Phone (602) 546-1900
Fax (602) 546-1918
Business Location
1919 E THOMAS RD BLDG 2108
SUITE 101
PHOENIX AZ, 85016-7710, US
Phone (602) 512-8029
Fax (602) 512-8161
Toxanomy
Taxonomy Code 2255A2300X
License State Arizona
License Number 0405
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According to our database, Mrs. Latisha Rae Leonard -bernier PA-C NPI is 1780649210, taxonomy code is 2255A2300X and license number is 0405, license state is located at Arizona. Latisha Rae Leonard -bernier PA-C physically located at 1919 E Thomas Rd, Phoenix AZ, 85016-7710. NPI Number Latisha Rae Leonard -bernier PA-C has the Individual type.

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1780649210 NPI number is provided on an as is basis without warranty of any kind. 1780649210 is maintained by the National Plan & Provider Enumeration System. The contents of Latisha Rae Leonard -bernier PA-C are for informational purposes only.