Individual
FRANNIE LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA 11942
Contact information
Practice address
850 SEQUOIA CIRCLE, WOMENS HEALTH CENTER, FORT BRAGG, CA 95437
(707) 964-0259
(707) 964-0765
Mailing address
PO BOX 1093, MENDOCINO, CA 95460
(707) 964-0017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 11942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 11942
LICENSE
CA
Enumeration date
05/15/2007
Last updated
07/08/2007
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