Individual
JULIE L LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3882 24TH ST, SAN FRANCISCO, CA 94114-3839
(415) 550-7736
Mailing address
3882 24TH ST, SAN FRANCISCO, CA 94114-3839
(415) 550-7736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G081681
CA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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