Leasza Provenzano
Leasza Provenzano is a Student in an Organized Health Care Education/Training Program in San Ramon, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
130 Reflections Dr #25San Ramon, CA 94583
Phone: (510) 776-8303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1497197032 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2013 |
| Last updated in NPPES | July 24, 2013 |
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