Organization
LEAVELIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE JANSSEN (CO-OWNER)
(415) 999-1111
Entity
Organization
Contact information
Practice address
490 CANAL ST SUITE 9, SAN RAFAEL, CA 94901
(415) 999-1111
Mailing address
490 CANAL ST SUITE 9, SAN RAFAEL, CA 94901
(415) 999-1111
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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