Individual
TETY LEONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT07391
TX
363AM0700X
Medical Physician Assistant
Primary
PA07936
TX
Other
Enumeration date
02/08/2007
Last updated
03/26/2013
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