Individual
DARRECA LEFTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 BANCROFT ST APT 16, SAN DIEGO, CA 92116-4455
(213) 207-6546
Mailing address
4514 BANCROFT ST APT 16, SAN DIEGO, CA 92116-4455
(213) 207-6546
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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