Individual
LEON JOSEPH ROBERTS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MINISTRY
Contact information
Practice address
3534 E STATE HWY 20 STE 2, NICE, CA 95464-8573
(925) 548-3918
Mailing address
1501 DAWN CT, SAN RAMON, CA 94583-1287
(925) 548-3918
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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