Individual
BRITTANY LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ADDISON AVE, PALO ALTO, CA 94301-2401
(650) 433-8621
(650) 434-0061
Mailing address
101 ADDISON AVE, PALO ALTO, CA 94301-2401
(650) 433-8621
(650) 434-0061
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57.026181
OH
207YS0123X
Facial Plastic Surgery Physician
Primary
A168535
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
07/30/2021
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