Individual
LAURA LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2761 E JEFFERSON, DETROIT, MI 48207
(313) 993-3964
(313) 993-1372
Mailing address
2761 E JEFFERSON, DETROIT, MI 48207
(313) 993-3964
(313) 993-1372
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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