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
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470355
—
AZ
Enumeration date
04/18/2006
Last updated
04/21/2025
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