Individual
JEROME A LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 EL CAMINO REAL, BURLINGAME, CA 94010-4927
(510) 542-1276
Mailing address
1012 EL CAMINO REAL, BURLINGAME, CA 94010-4927
(510) 542-1276
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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