Individual
MAKSIM LEONTIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7777
Mailing address
5201 HARSTON WAY, ANTELOPE, CA 95843-4656
(916) 223-6951
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
146678
CA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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