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Individual

ANTOINETTE LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(909) 786-6045
Mailing address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(909) 786-6045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
551013
CA

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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