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Individual

MICHELLE LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, PHN

Contact information

Practice address
1691 BURBANK AVE, SANTA ROSA, CA 95407-5903
(707) 609-4828
Mailing address
1980 WOOD RD, FULTON, CA 95439-8837
(408) 637-1474

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95320497
CA

Other

Enumeration date
01/07/2025
Last updated
01/07/2025
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