Individual
JACOB LEONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3499
Mailing address
4913 W 2ND STREET RD, GREELEY, CO 80634-4327
(970) 518-6520
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000980
CO
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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