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Individual

LEANDRA FEENSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-1000
Mailing address
11731 SUTTER AVE, YUCAIPA, CA 92399-3953

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
745967
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
105419
CA

Other

Enumeration date
01/05/2015
Last updated
02/13/2015
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