Individual
COLLEEN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(530) 225-5252
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
558993
CA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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