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Individual

MARISA LEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3466 EL CAMINO REAL, SANTA CLARA, CA 95051-2809
(408) 791-1210
(408) 791-0085
Mailing address
5138 MONTEREY HWY STE G, SAN JOSE, CA 95111-4382
(408) 687-4806
(408) 687-4817

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
55120
CA

Other

Enumeration date
09/11/2015
Last updated
03/17/2018
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