Tina Leonidas

NPI 1033423439 - Specialist - 174400000X

NPI Details
NPI 1033423439
Gender Female
Enumeration Date 07/28/2010
Last Updated 07/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
801 PLEASANT ST
BROCKTON MA, 02301-3052, US
Phone (508) 586-5977
Fax
Business Location
801 PLEASANT ST
BROCKTON MA, 02301-3052, US
Phone (508) 586-5977
Fax
Toxanomy
Taxonomy Code 174400000X
License State Massachusetts
License Number S34559205
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According to our database, Ms. Tina Leonidas NPI is 1033423439, taxonomy code is 174400000X and license number is S34559205, license state is located at Massachusetts. Tina Leonidas physically located at 801 Pleasant St, Brockton MA, 02301-3052. NPI Number Tina Leonidas has the Individual type.

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1033423439 NPI number is provided on an as is basis without warranty of any kind. 1033423439 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Leonidas are for informational purposes only.