Individual
LEO MOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
1202 KETTNER BLVD STE B, SAN DIEGO, CA 92101-3338
(619) 356-8961
Mailing address
1202 KETTNER BLVD STE B, SAN DIEGO, CA 92101-3338
(619) 356-8961
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-1553
CA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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