Individual
DEANNA LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MDG/OMRS, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1809
(707) 413-7295
Mailing address
60 MDG/OMRS, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115037
FL
Other
Enumeration date
10/01/2021
Last updated
07/15/2024
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