Individual
THERESE MICHAELA LEANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-2148
(310) 267-3899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704295449
MI
367500000X
Certified Registered Nurse Anesthetist
4704295449
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
95001767
CA
Other
Enumeration date
09/27/2019
Last updated
12/12/2022
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