Individual
JERRY F LEANDADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1111 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
Mailing address
6868 BROOK FALLS CIR, STOCKTON, CA 95219-2445
(209) 956-5754
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
170115
CA
261QA1903X
Ambulatory Surgical Clinic/Center
39-07
CA
Other
Enumeration date
12/18/2006
Last updated
04/16/2026
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