Individual
MRS. SUSANA M LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 N 24TH ST STE 210, PHOENIX, AZ 85016-6536
(602) 840-0681
(602) 957-1570
Mailing address
3700 N 24TH ST STE 210, PHOENIX, AZ 85016-6536
(602) 840-0681
(602) 957-1570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5352
AZ
Other
Enumeration date
02/19/2013
Last updated
03/17/2018
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