Organization
HUM SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE LEONHARDT (OWNER/CMT/ESTHETICIAN)
(707) 839-7727
Entity
Organization
Contact information
Practice address
1585 HEARTWOOD DR, SUITE J, MCKINLEYVILLE, CA 95519-3991
(707) 839-7727
Mailing address
PO BOX 2835, MCKINLEYVILLE, CA 95519-2835
(707) 839-7727
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
000000
CA
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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