Individual
MARY LEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3412 ROSS RD, PALO ALTO, CA 94303-4411
(714) 815-5485
Mailing address
1144 SEENA AVE, LOS ALTOS, CA 94024-4943
(714) 815-5485
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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