Individual
ANTIONE L LEONARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5446 BOULDER HWY, LAS VEGAS, NV 89122-6069
(702) 291-7121
Mailing address
6243 HOPEFUL LIGHT AVE, LAS VEGAS, NV 89139-6866
(773) 678-4733
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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