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Organization

LEESHA MONY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEESHA NICOL MONY (TRAINEE)
(702) 339-6709
Entity
Organization

Contact information

Practice address
2540 CHARLESTON ST, OAKLAND, CA 94602-2508
(702) 339-6709
Mailing address
2540 CHARLESTON ST, OAKLAND, CA 94602-2508
(702) 339-6709

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/29/2015
Last updated
08/24/2015
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