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Individual

CONSTANCE LEAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2841 MARTIN LUTHER KING JR AVE, RICHMOND, CA 94804-4021
(855) 883-7325
Mailing address
2841 MARTIN LUTHER KING JR AVE, RICHMOND, CA 94804-4021
(855) 883-7325

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
615965
CA

Other

Enumeration date
08/23/2020
Last updated
08/23/2020
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