Individual
BRONC SKYLER LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 FILLIPPELLI DR, GILROY, CA 95020-3930
(417) 389-2376
Mailing address
915 FILLIPPELLI DR, GILROY, CA 95020-3930
(417) 389-2376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
775283
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95025970
CA
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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