Individual
MRS. JUDITH WHITNEY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP, BC
Contact information
Practice address
23321 EL TORO RD, SUITES F & G, LAKE FOREST, CA 92630-4825
(949) 770-0513
(949) 770-2941
Mailing address
23321 EL TORO RD, SUITES F & G, LAKE FOREST, CA 92630-4825
(949) 770-0513
(949) 770-2941
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
374842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ8391Z
—
CA
Enumeration date
08/01/2006
Last updated
11/19/2008
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