Individual
CAROLYN SUZANNE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-0010
(909) 580-0064
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-0010
(909) 580-0064
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
G60429
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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