Individual
LEO CALAUSTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8290 CRYSTAL WALK CIR, ELK GROVE, CA 95758-8081
(916) 662-6034
Mailing address
8290 CRYSTAL WALK CIR, ELK GROVE, CA 95758-8081
(916) 662-6034
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
1103980
CA
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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