Individual
JESSICA LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7271 N. MAIN STREET, SUITE 3, DAYTON, OH 45415
(937) 203-4928
Mailing address
2504 HOME AVE, DAYTON, OH 45417
(513) 567-5933
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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