Individual
BRANDIE MOSES LEAVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
12460 BAYSHORE ST, LOMA RICA, CA 95901-9529
(530) 845-3631
Mailing address
12460 BAYSHORE ST, LOMA RICA, CA 95901-9529
(530) 845-3631
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1204
CA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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