Individual
ROBERT LEATHERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
514 FLORA SPRINGS CT, FAIRFIELD, CA 94534-6688
(213) 308-7759
Mailing address
514 FLORA SPRINGS CT, FAIRFIELD, CA 94534-6688
(213) 308-7759
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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