Individual
BRIAN JUSTIN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12425 OAK KNOLL RD APT 1D, POWAY, CA 92064-5406
(916) 217-6024
Mailing address
12425 OAK KNOLL RD APT 1D, POWAY, CA 92064-5406
(916) 217-6024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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