Individual
THOMAS ROBERT LEIDENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
408 C ST, ANTIOCH, CA 94509-1204
(925) 522-9628
Mailing address
408 C ST, ANTIOCH, CA 94509-1204
(925) 522-9628
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
42960
CA
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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