Individual
DEBRA ANN LEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFTS
Contact information
Practice address
2306 OAK LN, SUITE 3, GRAND PRAIRIE, TX 75051-8235
(469) 733-0580
(972) 262-0533
Mailing address
2306 OAK LN, SUITE 3, GRAND PRAIRIE, TX 75051-8235
(469) 733-0580
(972) 262-0533
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
335E00000X
Prosthetic/Orthotic Supplier
—
TX
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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