Organization
PRECIOUS J LEAK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRECIOUS LEAK (OWNER)
(980) 402-4837
Entity
Organization
Contact information
Practice address
20200 ZION AVE, CORNELIUS, NC 28031-8546
(980) 301-2974
Mailing address
1215 KENNEDY ST, LAURINBURG, NC 28352-5222
(980) 402-4837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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