Individual
MRS. AMY MARIE LEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(301) 302-3861
Mailing address
224 ASH AVE, NIPOMO, CA 93444-5027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/12/2026
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