Individual
MR. BRYAN ROBERT LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6611 FOLSOM AUBURN RD STE F, FOLSOM, CA 95630-2100
(916) 988-9111
Mailing address
19719 SUTTER CREEK RD, SUTTER CREEK, CA 95685-9725
(209) 296-1643
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95027967
CA
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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