Individual
DR. INE MARIE LEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1332 PARK ST STE 202, ALAMEDA, CA 94501-4545
(510) 523-3417
Mailing address
1332 PARK ST STE 202, ALAMEDA, CA 94501-4545
(510) 523-3417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
258408
NY
208000000X
Pediatrics Physician
258408
NY
208000000X
Pediatrics Physician
Primary
C171601
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2007
Last updated
09/15/2022
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