Individual
MATTHEW ERICK LEIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29916 PATRIOT DR, MENIFEE, CA 92584-0351
(509) 415-5648
Mailing address
29916 PATRIOT DR, MENIFEE, CA 92584-0351
(509) 415-5648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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