Individual
MRS. MARY ANNE LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 HWY. 193, LINCOLN, CA 95648
(916) 645-8413
Mailing address
2010 HWY. 193, LINCOLN, CA 95648
(916) 645-8413
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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