Individual
LEONARD SYDNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 DA NANG DR, UNIT C, CORONADO, CA 92118-3147
(719) 246-2667
Mailing address
1504 DA NANG DR, UNIT C, CORONADO, CA 92118-3147
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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