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Individual

MRS. LATISHA LEONARD BERNIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1919 E THOMAS RD, EAST BUILDING, PHOENIX, AZ 85016-7710
(602) 546-1900
(602) 546-1918
Mailing address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4535
AZ
363A00000X
Physician Assistant
62069
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470355
AZ
Enumeration date
04/18/2006
Last updated
05/21/2026
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