Individual
CYNTHIA LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9475
Mailing address
3515 EL CAMINO DR, SAN BERNARDINO, CA 92404-2022
(909) 901-9945
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
369132
CA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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