Individual
LEENU JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2061 N SQUIRREL RD UNIT 1976, AUBURN HILLS, MI 48326-2350
(248) 243-3710
(248) 282-1756
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005572
MI
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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