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Individual

TETY LEONARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, LD

Contact information

Practice address
2110 HOLLOW WAY, GARLAND, TX 75041-2186
(254) 421-2502
Mailing address
2110 HOLLOW WAY, GARLAND, TX 75041-2186
(254) 421-2502

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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