Individual
JENNA MARIE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10051 LAKE AVE STE 3, TRUCKEE, CA 96161-4870
(530) 587-7461
Mailing address
10145 MARTIS VALLEY RD APT 3, TRUCKEE, CA 96161-2196
(925) 337-1846
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
PA61158
CA
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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