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Individual

BEVERLY S LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3705 MISSION BLVD, SAN DIEGO, CA 92109-7104
(619) 515-2444
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 906-4623
(619) 906-4564

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP10943
CA

Other

Enumeration date
02/01/2007
Last updated
03/17/2018
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