Individual
JENNY LEONIDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69 COVE RD APT A4, STAMFORD, CT 06902-5234
(203) 286-8192
Mailing address
69 COVE RD APT A4, STAMFORD, CT 06902-5234
(203) 286-8192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313100-1
NY
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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