Individual
LEESHA LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 NE 7TH STREET, TRENTON, FL 32693
(352) 487-0064
Mailing address
4300 SW 13TH STREET, GAINESVILLE, FL 32608-4006
(352) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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